Third degree AV block risk factors: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Third degree AV block}} | {{Third degree AV block}} | ||
{{CMG}}; {{AE}} {{Soroush}} | {{CMG}}; {{AE}} {{Sara.Zand}} {{Soroush}} {{ADG}} | ||
==Overview== | ==Overview== | ||
Common risk factors associated [[atioventricular block]] include older [[age]], [[male sex]], history of [[myocardial infarction]], history of [[congestive heart disease]], [[high]] [[systolic blood pressure]], increased [[fasting]] blood [[glucose]] level. | |||
==Risk Factors== | ==Risk Factors== | ||
::*Common risk factors associated with [[atioventricular block]] include:<ref name="pmid31125096">{{cite journal| author=Kerola T, Eranti A, Aro AL, Haukilahti MA, Holkeri A, Junttila MJ et al.| title=Risk Factors Associated With Atrioventricular Block. | journal=JAMA Netw Open | year= 2019 | volume= 2 | issue= 5 | pages= e194176 | pmid=31125096 | doi=10.1001/jamanetworkopen.2019.4176 | pmc=6632153 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31125096 }}</ref> | |||
*Older [[age]] | |||
* Male sex | |||
* History of [[myocardial infarction]] | |||
*History of [[congestive heart disease]] | |||
*[[High]] [[systolic blood pressure]] | |||
*Increased [[fasting blood glucose]] level | |||
::* Common risk factors associated with [[atrioventricular block]] after [[cardiac]] surgery include:<ref name="pmid28122567">{{cite journal |vauthors=Bougioukas I, Jebran AF, Grossmann M, Friedrich M, Tirilomis T, Schoendube FA, Danner BC |title=Is there a correlation between late re-exploration after cardiac surgery and removal of epicardial pacemaker wires? |journal=J Cardiothorac Surg |volume=12 |issue=1 |pages=3 |date=January 2017 |pmid=28122567 |pmc=5264443 |doi=10.1186/s13019-017-0569-5 |url=}}</ref> | |||
Common risk | * Older age | ||
=== | * [[Atrial fibrillation]] | ||
* | * Prior [[surgery]] | ||
* | * [[ Preoperative]] [[renal failure]] | ||
* | * Active [[endocarditis]] | ||
* | ::* Common risk factor associated with intraoperative [[bradycardia]] and [[hypotension]] in [[patients]] undergoing non-[[cardiac]] [[surgery]] include:<ref name="pmid14570803">{{cite journal |vauthors=Unnikrishnan D, Idris N, Varshneya N |title=Complete heart block during central venous catheter placement in a patient with pre-existing left bundle branch block |journal=Br J Anaesth |volume=91 |issue=5 |pages=747–9 |date=November 2003 |pmid=14570803 |doi=10.1093/bja/aeg242 |url=}}</ref> | ||
* | *Age (>60-65 years of age) | ||
*[[ Comorbidities]] | |||
=== | * Lower [[heart rates]] (<60 bpm) or [[blood pressure]] (<110/60 mm Hg) at baseline | ||
* | * Use of concomitant [[drugs]] such as [[beta-blockers]], [[renin-angiotensin system]] blockers | ||
**[ | ::* Common risk factors associated with [[PPM]] implantation after [[valve]] surgery include:<ref name="pmid6204288">{{cite journal |vauthors=Goldman BS, Hill TJ, Weisel RD, Scully HE, Mickleborough LL, Pym J, Baird RJ |title=Permanent cardiac pacing after open-heart surgery: acquired heart disease |journal=Pacing Clin Electrophysiol |volume=7 |issue=3 Pt 1 |pages=367–71 |date=May 1984 |pmid=6204288 |doi=10.1111/j.1540-8159.1984.tb04919.x |url=}}</ref> | ||
**[ | * Preoperative [[RBBB]] | ||
**[ | * [[Multivalve]] [[surgery ]], especially [[tricuspid valve]] | ||
* Preoperative [[LBBB]] | |||
* Preoperative [[PR interval]] >200 ms | |||
* Prior [[valve]] surgery | |||
* [[Age]] >70 years | |||
* Reoperations | |||
* Longer times of [[cross-clamp]] | |||
*Absence of [[preoperative]] [[sinus rhythm]] | |||
==References== | ==References== | ||
Latest revision as of 11:16, 7 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Soroush Seifirad, M.D.[3] Aditya Ganti M.B.B.S. [4]
Overview
Common risk factors associated atioventricular block include older age, male sex, history of myocardial infarction, history of congestive heart disease, high systolic blood pressure, increased fasting blood glucose level.
Risk Factors
- Common risk factors associated with atioventricular block include:[1]
- Older age
- Male sex
- History of myocardial infarction
- History of congestive heart disease
- High systolic blood pressure
- Increased fasting blood glucose level
- Common risk factors associated with atrioventricular block after cardiac surgery include:[2]
- Older age
- Atrial fibrillation
- Prior surgery
- Preoperative renal failure
- Active endocarditis
- Common risk factor associated with intraoperative bradycardia and hypotension in patients undergoing non-cardiac surgery include:[3]
- Age (>60-65 years of age)
- Comorbidities
- Lower heart rates (<60 bpm) or blood pressure (<110/60 mm Hg) at baseline
- Use of concomitant drugs such as beta-blockers, renin-angiotensin system blockers
- Preoperative RBBB
- Multivalve surgery , especially tricuspid valve
- Preoperative LBBB
- Preoperative PR interval >200 ms
- Prior valve surgery
- Age >70 years
- Reoperations
- Longer times of cross-clamp
- Absence of preoperative sinus rhythm
References
- ↑ Kerola T, Eranti A, Aro AL, Haukilahti MA, Holkeri A, Junttila MJ; et al. (2019). "Risk Factors Associated With Atrioventricular Block". JAMA Netw Open. 2 (5): e194176. doi:10.1001/jamanetworkopen.2019.4176. PMC 6632153 Check
|pmc=value (help). PMID 31125096. - ↑ Bougioukas I, Jebran AF, Grossmann M, Friedrich M, Tirilomis T, Schoendube FA, Danner BC (January 2017). "Is there a correlation between late re-exploration after cardiac surgery and removal of epicardial pacemaker wires?". J Cardiothorac Surg. 12 (1): 3. doi:10.1186/s13019-017-0569-5. PMC 5264443. PMID 28122567.
- ↑ Unnikrishnan D, Idris N, Varshneya N (November 2003). "Complete heart block during central venous catheter placement in a patient with pre-existing left bundle branch block". Br J Anaesth. 91 (5): 747–9. doi:10.1093/bja/aeg242. PMID 14570803.
- ↑ Goldman BS, Hill TJ, Weisel RD, Scully HE, Mickleborough LL, Pym J, Baird RJ (May 1984). "Permanent cardiac pacing after open-heart surgery: acquired heart disease". Pacing Clin Electrophysiol. 7 (3 Pt 1): 367–71. doi:10.1111/j.1540-8159.1984.tb04919.x. PMID 6204288.