Second degree AV block diagnostic study of choice: Difference between revisions

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__NOTOC__
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{{Second degree AV block}}
{{Second degree AV block}}
{{CMG}}; {{AE}}
{{CMG}}; {{AE}} {{sali}}


== Overview ==
== Overview ==


Electrocardiography (ECG) is employed to determine the type of second-degree atrioventricular (AV) block present. Follow-up ECGs and cardiac monitoring are appropriate.
[[Electrocardiography]] ([[ECG]]) is employed to determine the type of [[second-degree]] [[atrioventricular ]] ([[AV]]) block present. Follow-up [[ECG]]s and [[cardiac]] monitoring are appropriate.
Routine imaging studies are not required. However, if myocarditis is a concern, echocardiography may be indicated. If myocardial ischemia is a concern, a chest radiograph may be indicated.


== Diagnostic Study of Choice ==
== Diagnostic Study of Choice ==
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* [[Electrocardiography]] (ECG) is employed to determine the type of [[second-degree atrioventricular]] (AV) block present<ref name="pmid29493981">{{cite journal |vauthors=Mangi MA, Jones WM, Napier L |title= |journal= |volume= |issue= |pages= |date= |pmid=29493981 |doi= |url=}}</ref><ref name="pmid22813399">{{cite journal |vauthors=Thiruganasambandamoorthy V, Hess EP, Turko E, Tran ML, Wells GA, Stiell IG |title=Defining abnormal electrocardiography in adult emergency department syncope patients: the Ottawa Electrocardiographic Criteria |journal=CJEM |volume=14 |issue=4 |pages=248–58 |date=July 2012 |pmid=22813399 |doi= |url=}}</ref><ref name="pmid23224264">{{cite journal |vauthors=Barold SS, Herweg B |title=Second-degree atrioventricular block revisited |journal=Herzschrittmacherther Elektrophysiol |volume=23 |issue=4 |pages=296–304 |date=December 2012 |pmid=23224264 |doi=10.1007/s00399-012-0240-8 |url=}}</ref>.  
* [[Electrocardiography]] (ECG) is employed to determine the type of [[second-degree atrioventricular]] (AV) block present<ref name="pmid29493981">{{cite journal |vauthors=Mangi MA, Jones WM, Napier L |title= |journal= |volume= |issue= |pages= |date= |pmid=29493981 |doi= |url=}}</ref><ref name="pmid22813399">{{cite journal |vauthors=Thiruganasambandamoorthy V, Hess EP, Turko E, Tran ML, Wells GA, Stiell IG |title=Defining abnormal electrocardiography in adult emergency department syncope patients: the Ottawa Electrocardiographic Criteria |journal=CJEM |volume=14 |issue=4 |pages=248–58 |date=July 2012 |pmid=22813399 |doi= |url=}}</ref><ref name="pmid23224264">{{cite journal |vauthors=Barold SS, Herweg B |title=Second-degree atrioventricular block revisited |journal=Herzschrittmacherther Elektrophysiol |volume=23 |issue=4 |pages=296–304 |date=December 2012 |pmid=23224264 |doi=10.1007/s00399-012-0240-8 |url=}}</ref>.  
* Follow-up [[ECG]]s and [[cardiac]] monitoring are appropriate<ref name="pmid25080840">{{cite journal |vauthors=Barold SS, Van Heuverswyn FE, Timmers L, Stroobandt RX |title=Mobitz type II second-degree atrioventricular block during dobutamine stress echocardiography. True or false? |journal=Echocardiography |volume=31 |issue=7 |pages=799–801 |date=August 2014 |pmid=25080840 |doi=10.1111/echo.12577 |url=}}</ref>.
* Follow-up [[ECG]]s and [[cardiac]] monitoring are appropriate<ref name="pmid25080840">{{cite journal |vauthors=Barold SS, Van Heuverswyn FE, Timmers L, Stroobandt RX |title=Mobitz type II second-degree atrioventricular block during dobutamine stress echocardiography. True or false? |journal=Echocardiography |volume=31 |issue=7 |pages=799–801 |date=August 2014 |pmid=25080840 |doi=10.1111/echo.12577 |url=}}</ref>.
* Routine imaging studies are not required. However, if [[myocarditis]] is a concern, [[echocardiography]] may be indicated<ref name="pmid29850368">{{cite journal |vauthors=Li X, Xue Y, Wu H |title=A Case of Atrioventricular Block Potentially Associated with Right Coronary Artery Lesion and Ticagrelor Therapy Mediated by the Increasing Adenosine Plasma Concentration |journal=Case Rep Vasc Med |volume=2018 |issue= |pages=9385017 |date=2018 |pmid=29850368 |pmc=5933017 |doi=10.1155/2018/9385017 |url=}}</ref><ref name="pmid29275956">{{cite journal |vauthors=Fu Md J, Bhatta L |title=Lyme carditis: Early occurrence and prolonged recovery |journal=J Electrocardiol |volume=51 |issue=3 |pages=516–518 |date=2018 |pmid=29275956 |doi=10.1016/j.jelectrocard.2017.12.035 |url=}}</ref>.
* If [[myocardial ischemia]] is a concern, a chest radiograph may be indicated<ref name="pmid29083636">{{cite journal |vauthors=Kashou AH, Goyal A, Nguyen T, Chhabra L |title= |journal= |volume= |issue= |pages= |date= |pmid=29083636 |doi= |url=}}</ref>.
=== Name of Diagnostic Criteria ===
* There are no established criteria for the diagnosis of AV block<ref name="pmid25264058">{{cite journal |vauthors=Saito K, Takeda S, Saito Y, Kawamura M, Yoshikawa Y, Yano H, Sata M |title=Electrocardiographic and chronobiological features of paroxysmal AV block recorded by ambulatory electrocardiography |journal=J. Med. Invest. |volume=61 |issue=3-4 |pages=380–7 |date=2014 |pmid=25264058 |doi=10.2152/jmi.61.380 |url=}}</ref>.


==References==
==References==

Latest revision as of 05:26, 10 July 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]

Overview

Electrocardiography (ECG) is employed to determine the type of second-degree atrioventricular (AV) block present. Follow-up ECGs and cardiac monitoring are appropriate.

Diagnostic Study of Choice

Study of choice

References

  1. Mangi MA, Jones WM, Napier L. PMID 29493981. Missing or empty |title= (help)
  2. Thiruganasambandamoorthy V, Hess EP, Turko E, Tran ML, Wells GA, Stiell IG (July 2012). "Defining abnormal electrocardiography in adult emergency department syncope patients: the Ottawa Electrocardiographic Criteria". CJEM. 14 (4): 248–58. PMID 22813399.
  3. Barold SS, Herweg B (December 2012). "Second-degree atrioventricular block revisited". Herzschrittmacherther Elektrophysiol. 23 (4): 296–304. doi:10.1007/s00399-012-0240-8. PMID 23224264.
  4. Barold SS, Van Heuverswyn FE, Timmers L, Stroobandt RX (August 2014). "Mobitz type II second-degree atrioventricular block during dobutamine stress echocardiography. True or false?". Echocardiography. 31 (7): 799–801. doi:10.1111/echo.12577. PMID 25080840.

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