First degree AV block other diagnostic studies: Difference between revisions
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==Other diagnostic studies== | ==Other diagnostic studies== | ||
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| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center |'''Additional testing for management of bradycardia associated atrioventricular block''' | |||
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |'''[[ Ambulatory electrocardiographic monitoring]] ([[ACC AHA guidelines classification scheme|Class IIa , Level of Evidence B]]):''' | |||
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❑ [[Ambulatory electrocardiographic monitoring]] is recommended in [[patients]] with [[first degree AV block]], or mobitz type 1 [[second degree AV block]] to establish the correlation between [[symptoms]] related to bradycardia ([[lightheadness]], [[syncope]]) and [[atrioventricular block]]<br> | |||
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |''' [[Exercise treadmill test]] ([[ACC AHA guidelines classification scheme|Class IIa , Level of Evidence C]]):''' | |||
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❑ [[Exercise treadmill test]] is reasonable in [[patients]] with [[first degree AV block]] or mobitz type 1 [[second degree AV block]] in resting [[ECG]] who have [[chest pain]] or [[shortness of breath]] during [[exercise]] to identify the benefit of [[permanent pacing]]<br> | |||
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |'''[[Electrophysiologic study]] ([[ACC AHA guidelines classification scheme|Class IIb , Level of Evidence B]]):''' | |||
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! colspan="2" style="background: PapayaWhip;" align="center" + |The above table adopted from 2018 AHA/ACC/HRS Guideline<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> | |||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 04:16, 24 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
There are no other diagnostic studies for first degree AV block.
Other diagnostic studies
| Additional testing for management of bradycardia associated atrioventricular block |
| Ambulatory electrocardiographic monitoring (Class IIa , Level of Evidence B): |
|
❑ Ambulatory electrocardiographic monitoring is recommended in patients with first degree AV block, or mobitz type 1 second degree AV block to establish the correlation between symptoms related to bradycardia (lightheadness, syncope) and atrioventricular block |
| Exercise treadmill test (Class IIa , Level of Evidence C): |
|
❑ Exercise treadmill test is reasonable in patients with first degree AV block or mobitz type 1 second degree AV block in resting ECG who have chest pain or shortness of breath during exercise to identify the benefit of permanent pacing |
| Electrophysiologic study (Class IIb , Level of Evidence B): |
| The above table adopted from 2018 AHA/ACC/HRS Guideline[1] |
|---|
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.