First degree AV block medical therapy: Difference between revisions
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{{First degree AV block}} | {{First degree AV block}} | ||
{{CMG}}; {{AE}} {{CZ}} | {{CMG}}; {{AE}} {{Sara.Zand}} [[User:Mohammed Salih|Mohammed Salih, M.D.]], {{CZ}} | ||
==Overview== | |||
Commonly, there is no need for treating [[first-degree AV block]]. [[Permanent pacemaker]] indicates only for [[symptomatic]] [[first-degree AV block]] with PR>300 ms,[[neuromuscular]] [[disease]], or in presence of [[wide QRS]] compelex. [[First-degree AV block]] in the setting of [[acute myocardial infarction]] usually reverses after recovery from acute phase of [[myocardial infarction]]. [[Antiarrhythmic]] [[medications]] should be avoided in [[first-degreeAV block]]. | |||
==Medical Therapy== | |||
* Commonly, there is no need for treating [[first-degree AV block]]. | |||
* | *[[Permanent pacemaker]] indicates only for [[symptomatic]] [[first-degree AV block]] with PR>300 ms, [[neuromuscular]] [[disease]], or in presence of [[wide QRS]] compelex. | ||
* | * [[First-degree AV block]] in the setting of [[acute myocardial infarction]] usually reverses after recovery from [[myocardial infarction]]. | ||
* | * [[Antiarrhythmic]] [[medications]] should be avoided in [[first-degreeAV block]].<ref name="pmid30105427">{{cite journal |vauthors=Lewalter T, Pürerfellner H, Ungar A, Rieger G, Mangoni L, Duru F |title="First-degree AV block-a benign entity?" Insertable cardiac monitor in patients with 1st-degree AV block reveals presence or progression to higher grade block or bradycardia requiring pacemaker implant |journal=J Interv Card Electrophysiol |volume=52 |issue=3 |pages=303–306 |date=August 2018 |pmid=30105427 |doi=10.1007/s10840-018-0439-7 |url=}}</ref> | ||
* | |||
==References== | ==References== | ||
Latest revision as of 05:28, 24 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] Mohammed Salih, M.D., Cafer Zorkun, M.D., Ph.D. [3]
Overview
Commonly, there is no need for treating first-degree AV block. Permanent pacemaker indicates only for symptomatic first-degree AV block with PR>300 ms,neuromuscular disease, or in presence of wide QRS compelex. First-degree AV block in the setting of acute myocardial infarction usually reverses after recovery from acute phase of myocardial infarction. Antiarrhythmic medications should be avoided in first-degreeAV block.
Medical Therapy
- Commonly, there is no need for treating first-degree AV block.
- Permanent pacemaker indicates only for symptomatic first-degree AV block with PR>300 ms, neuromuscular disease, or in presence of wide QRS compelex.
- First-degree AV block in the setting of acute myocardial infarction usually reverses after recovery from myocardial infarction.
- Antiarrhythmic medications should be avoided in first-degreeAV block.[1]
References
- ↑ Lewalter T, Pürerfellner H, Ungar A, Rieger G, Mangoni L, Duru F (August 2018). ""First-degree AV block-a benign entity?" Insertable cardiac monitor in patients with 1st-degree AV block reveals presence or progression to higher grade block or bradycardia requiring pacemaker implant". J Interv Card Electrophysiol. 52 (3): 303–306. doi:10.1007/s10840-018-0439-7. PMID 30105427.