Third degree AV block classification: Difference between revisions
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==Overview== | ==Overview== | ||
[[ | [[Third-degree]] or [[complete atrioventricular block]] suggests no conduction at all from [[atria]] to [[ventricles]] and may be [[paroxysmal]] or [[persistent]] and is usually associated with either a [[junctional]] or [[ventricular]] escape [[rhythm]]. [[Complete atrioventricular block]] may be identified in the setting of [[atrial fibrillation]] when the [[ventricular]] response is [[slow]] (<50 bpm) and [[ regular]]. However, [[junctional rhythm]] in the setting of [[atrioventricular ]] block may be present. | ||
==Classification== | ==Classification== | ||
<ref name="KusumotoSchoenfeld2019">{{cite journal|last1=Kusumoto|first1=Fred M.|last2=Schoenfeld|first2=Mark H.|last3=Barrett|first3=Coletta|last4=Edgerton|first4=James R.|last5=Ellenbogen|first5=Kenneth A.|last6=Gold|first6=Michael R.|last7=Goldschlager|first7=Nora F.|last8=Hamilton|first8=Robert M.|last9=Joglar|first9=José A.|last10=Kim|first10=Robert J.|last11=Lee|first11=Richard|last12=Marine|first12=Joseph E.|last13=McLeod|first13=Christopher J.|last14=Oken|first14=Keith R.|last15=Patton|first15=Kristen K.|last16=Pellegrini|first16=Cara N.|last17=Selzman|first17=Kimberly A.|last18=Thompson|first18=Annemarie|last19=Varosy|first19=Paul D.|title=2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society|journal=Circulation|volume=140|issue=8|year=2019|issn=0009-7322|doi=10.1161/CIR.0000000000000628}}</ref> | |||
{| class="wikitable" | {| class="wikitable" | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Term | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Term | ||
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* [[atrioventricular delay]] because no P waves are blocked | * [[atrioventricular delay]] because no P waves are blocked | ||
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| [[Second- degree | | [[Second-degree AV block]] | ||
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* P waves with a constant rate (<100 bpm) | * P waves with a constant rate (<100 bpm) | ||
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:* ≥2 consecutive P waves at a constant physiologic rate that do not conduct to the [[ventricles ]] with evidence for some [[atrioventricular conduction]] | :* ≥2 consecutive P waves at a constant physiologic rate that do not conduct to the [[ventricles ]] with evidence for some [[atrioventricular conduction]] | ||
|- | |- | ||
|[[Third-degree | |[[Third-degree AV block]] ([[complete heart block]]) | ||
| | | | ||
*No evidence of [[atrioventricular conduction]] | *No evidence of [[atrioventricular conduction]] |
Latest revision as of 04:59, 22 July 2021
Third degree AV block Microchapters | |
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Third degree AV block classification On the Web | |
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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] Cafer Zorkun, M.D., Ph.D. [4] Qasim Khurshid, M.B.B.S [4]
Overview
Third-degree or complete atrioventricular block suggests no conduction at all from atria to ventricles and may be paroxysmal or persistent and is usually associated with either a junctional or ventricular escape rhythm. Complete atrioventricular block may be identified in the setting of atrial fibrillation when the ventricular response is slow (<50 bpm) and regular. However, junctional rhythm in the setting of atrioventricular block may be present.
Classification
Term | Classification | Definition | |
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Atrioventricular block | First-degree atrioventricular block |
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Second-degree AV block |
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Third-degree AV block (complete heart block) |
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References
- ↑ Kusumoto, Fred M.; Schoenfeld, Mark H.; Barrett, Coletta; Edgerton, James R.; Ellenbogen, Kenneth A.; Gold, Michael R.; Goldschlager, Nora F.; Hamilton, Robert M.; Joglar, José A.; Kim, Robert J.; Lee, Richard; Marine, Joseph E.; McLeod, Christopher J.; Oken, Keith R.; Patton, Kristen K.; Pellegrini, Cara N.; Selzman, Kimberly A.; Thompson, Annemarie; Varosy, Paul D. (2019). "2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 140 (8). doi:10.1161/CIR.0000000000000628. ISSN 0009-7322.