Second degree AV block physical examination: Difference between revisions
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* Only patients with previous cardiac condition as myocardial ischemia may appear in distress. | * Only patients with previous cardiac condition as myocardial ischemia may appear in distress. | ||
* Patients with Mobitz II can appear asymptomatic as well. However, in more cases they may be in distress or progress to the more severe third degree AV block. | * Patients with Mobitz II can appear asymptomatic as well. However, in more cases they may be in distress or progress to the more severe third degree AV block. | ||
*Patients may appear pale in cases of bradycardia with decreased cardiac output. | *Patients may appear pale in cases of bradycardia with decreased cardiac output.<ref name="pmid4701376">{{cite journal| author=Rosen KM, Dhingra RC, Loeb HS, Rahimtoola SH| title=Chronic heart block in adults. Clinical and electrophysiological observations. | journal=Arch Intern Med | year= 1973 | volume= 131 | issue= 5 | pages= 663-72 | pmid=4701376 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4701376 }}</ref> | ||
=== Vitals === | === Vitals === | ||
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* Syncope or presyncope | * Syncope or presyncope | ||
=== | === Neck === | ||
* Jugular venous distension | |||
=== Lungs === | |||
* Bibasilar crackles in patients with exacerbated heart failure | |||
=== Extremities === | |||
* Peripheral edema | |||
* | * | ||
Revision as of 21:27, 7 April 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Physical examination
Appearance of the patient
- Patients with second degree AV block type I (Mobitz I) are usually asymptomatic.[1]
- Only patients with previous cardiac condition as myocardial ischemia may appear in distress.
- Patients with Mobitz II can appear asymptomatic as well. However, in more cases they may be in distress or progress to the more severe third degree AV block.
- Patients may appear pale in cases of bradycardia with decreased cardiac output.[2]
Vitals
- Bradycardia with irregular pulse
- Lightheadedness
- Hypotension
- Syncope or presyncope
Neck
- Jugular venous distension
Lungs
- Bibasilar crackles in patients with exacerbated heart failure
Extremities
- Peripheral edema
References
- ↑ Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR; et al. (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): e382–e482. doi:10.1161/CIR.0000000000000628. PMID 30586772.
- ↑ Rosen KM, Dhingra RC, Loeb HS, Rahimtoola SH (1973). "Chronic heart block in adults. Clinical and electrophysiological observations". Arch Intern Med. 131 (5): 663–72. PMID 4701376.