Second degree AV block history and symptoms: Difference between revisions
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==History== | ==History== | ||
History | * History from patients with second degree AV block should involve asking about the following:<ref name="pmid7405798">{{cite journal |vauthors=Zeppilli P, Fenici R, Sassara M, Pirrami MM, Caselli G |title=Wenckebach second-degree A-V block in top-ranking athletes: an old problem revisited |journal=Am. Heart J. |volume=100 |issue=3 |pages=281–94 |date=September 1980 |pmid=7405798 |doi=10.1016/0002-8703(80)90140-4 |url=}}</ref><ref name="pmid29083636">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29083636 | doi= | pmc= | url= }}</ref> | ||
** Congenital cardiac disease | |||
** Current heart condition | |||
** Recent or previous cardiac procedures | |||
** History of medications | |||
==Symptoms== | ==Symptoms== | ||
* Most people with Wenckebach (Type I Mobitz) do not show symptoms.<ref name="pmid11988196">{{cite journal| author=Meimoun P, Zeghdi R, D'Attelis N, Berrebi A, Braunberger E, Deloche A | display-authors=etal| title=Frequency, predictors, and consequences of atrioventricular block after mitral valve repair. | journal=Am J Cardiol | year= 2002 | volume= 89 | issue= 9 | pages= 1062-6 | pmid=11988196 | doi=10.1016/s0002-9149(02)02276-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11988196 }} </ref><ref name="pmid29493981">{{cite journal |vauthors=Mangi MA, Jones WM, Napier L |title= |journal= |volume= |issue= |pages= |date= |pmid=29493981 |doi= |url=}}</ref> | * Most people with Wenckebach (Type I Mobitz) do not show symptoms.<ref name="pmid11988196">{{cite journal| author=Meimoun P, Zeghdi R, D'Attelis N, Berrebi A, Braunberger E, Deloche A | display-authors=etal| title=Frequency, predictors, and consequences of atrioventricular block after mitral valve repair. | journal=Am J Cardiol | year= 2002 | volume= 89 | issue= 9 | pages= 1062-6 | pmid=11988196 | doi=10.1016/s0002-9149(02)02276-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11988196 }} </ref><ref name="pmid29493981">{{cite journal |vauthors=Mangi MA, Jones WM, Napier L |title= |journal= |volume= |issue= |pages= |date= |pmid=29493981 |doi= |url=}}</ref> | ||
* If the sinus rate is slow and only few beats are conducted (higher grade blocks) there may be a significantly [[reduced cardiac output]]. Usual symptoms in such patients include<ref name="pmid6373268">{{cite journal |vauthors=Bexton RS, Camm AJ |title=Second degree atrioventricular block |journal=Eur. Heart J. |volume=5 Suppl A |issue= |pages=111–4 |date=March 1984 |pmid=6373268 |doi=10.1093/eurheartj/5.suppl_a.111 |url=}}</ref><ref name="pmid8445186">{{cite journal |vauthors=Wogan JM, Lowenstein SR, Gordon GS |title=Second-degree atrioventricular block: Mobitz type II |journal=J Emerg Med |volume=11 |issue=1 |pages=47–54 |date=1993 |pmid=8445186 |doi=10.1016/0736-4679(93)90009-v |url=}}</ref> | * If the sinus rate is slow and only few beats are conducted (higher grade blocks) there may be a significantly [[reduced cardiac output]]. | ||
*[[Light-headedness]] | *Usual symptoms in such patients include:<ref name="pmid6373268">{{cite journal |vauthors=Bexton RS, Camm AJ |title=Second degree atrioventricular block |journal=Eur. Heart J. |volume=5 Suppl A |issue= |pages=111–4 |date=March 1984 |pmid=6373268 |doi=10.1093/eurheartj/5.suppl_a.111 |url=}}</ref><ref name="pmid8445186">{{cite journal |vauthors=Wogan JM, Lowenstein SR, Gordon GS |title=Second-degree atrioventricular block: Mobitz type II |journal=J Emerg Med |volume=11 |issue=1 |pages=47–54 |date=1993 |pmid=8445186 |doi=10.1016/0736-4679(93)90009-v |url=}}</ref> | ||
*[[Dizziness]] | **[[Light-headedness]] | ||
*[[Fainting]] | **[[Dizziness]] | ||
*[[Fatigue]] | **[[Fainting]] | ||
*[[Heart failure]] symptoms | **[[Fatigue]] | ||
*[[Pre-syncope]] | **[[Heart failure]] symptoms | ||
*[[Syncope]] | **[[Pre-syncope]] | ||
**[[Syncope]] | |||
==References== | ==References== | ||
Revision as of 21:53, 8 April 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Patients with second degree AV block are asymptomatic. Some patients may present with symptoms of reduced cardiac output. Symptoms include dizziness, fatigue, presyncope or syncope, and light headedness.
History
- History from patients with second degree AV block should involve asking about the following:[1][2]
- Congenital cardiac disease
- Current heart condition
- Recent or previous cardiac procedures
- History of medications
Symptoms
- Most people with Wenckebach (Type I Mobitz) do not show symptoms.[3][4]
- If the sinus rate is slow and only few beats are conducted (higher grade blocks) there may be a significantly reduced cardiac output.
- Usual symptoms in such patients include:[5][6]
References
- ↑ Zeppilli P, Fenici R, Sassara M, Pirrami MM, Caselli G (September 1980). "Wenckebach second-degree A-V block in top-ranking athletes: an old problem revisited". Am. Heart J. 100 (3): 281–94. doi:10.1016/0002-8703(80)90140-4. PMID 7405798.
- ↑ "StatPearls". 2020. PMID 29083636.
- ↑ Meimoun P, Zeghdi R, D'Attelis N, Berrebi A, Braunberger E, Deloche A; et al. (2002). "Frequency, predictors, and consequences of atrioventricular block after mitral valve repair". Am J Cardiol. 89 (9): 1062–6. doi:10.1016/s0002-9149(02)02276-2. PMID 11988196.
- ↑ Mangi MA, Jones WM, Napier L. PMID 29493981. Missing or empty
|title=(help) - ↑ Bexton RS, Camm AJ (March 1984). "Second degree atrioventricular block". Eur. Heart J. 5 Suppl A: 111–4. doi:10.1093/eurheartj/5.suppl_a.111. PMID 6373268.
- ↑ Wogan JM, Lowenstein SR, Gordon GS (1993). "Second-degree atrioventricular block: Mobitz type II". J Emerg Med. 11 (1): 47–54. doi:10.1016/0736-4679(93)90009-v. PMID 8445186.