Paroxysmal AV Block Prognosis: Difference between revisions
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==Prognosis== | ==Prognosis== | ||
*Given the presence of an innate [[structural]] defect, there is an '''increase risk of progression to [[complete AV Block]] in patients with intrinsic [[AV block]]. Sparse literature suggest some correlation between length of [[asystole]] and increased severity.''' | *Given the presence of an innate [[structural]] defect, there is an '''increase risk of progression to [[complete AV Block]] in patients with intrinsic [[AV block]]. Sparse literature suggest some correlation between length of [[asystole]] and increased severity.'''<ref name="pmid19632639">{{cite journal| author=Lee S, Wellens HJ, Josephson ME| title=Paroxysmal atrioventricular block. | journal=Heart Rhythm | year= 2009 | volume= 6 | issue= 8 | pages= 1229-34 | pmid=19632639 | doi=10.1016/j.hrthm.2009.04.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19632639 }} </ref> | ||
* Given that [[extrinsic vagally mediated AV block]] is not associated with an innate conduction defect (seen in [[intrinsic paroxysmal AV block]]) and is at the level of the [[AV node]], it is considered [[benign]]. | * Given that [[extrinsic vagally mediated AV block]] is not associated with an innate conduction defect (seen in [[intrinsic paroxysmal AV block]]) and is at the level of the [[AV node]], it is considered [[benign]]. <ref name="pmid23286970">{{cite journal| author=Alboni P, Holz A, Brignole M| title=Vagally mediated atrioventricular block: pathophysiology and diagnosis. | journal=Heart | year= 2013 | volume= 99 | issue= 13 | pages= 904-8 | pmid=23286970 | doi=10.1136/heartjnl-2012-303220 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23286970 }} </ref> | ||
*Given the absence of structural heart disease, the paroxysmal nature of the episodes and the low probability of progression into more severe forms of [[Atrioventricular block|AV block]], [[extrinsic idiopathic paroxysmal AV block]] has a good [[prognosis]]. | *Given the absence of structural heart disease, the paroxysmal nature of the episodes and the low probability of progression into more severe forms of [[Atrioventricular block|AV block]], [[extrinsic idiopathic paroxysmal AV block]] has a good [[prognosis]]. <ref name="pmid28496928">{{cite journal| author=Guerrero-Márquez FJ, Arana-Rueda E, Pedrote A| title=Idiopathic Paroxysmal Atrio-Ventricular Block. What is The Mechanism? | journal=J Atr Fibrillation | year= 2016 | volume= 9 | issue= 3 | pages= 1449 | pmid=28496928 | doi=10.4022/jafib.1449 | pmc=5368548 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28496928 }} </ref> | ||
==References== | ==References== | ||
Latest revision as of 12:18, 2 July 2020
Overview
Prognosis of intrinsic paroxysmal AV block is more dire than extrinsic idiopathic paroxysmal AV block or extrinsic vagal paroxysmal AV block.
Prognosis
- Given the presence of an innate structural defect, there is an increase risk of progression to complete AV Block in patients with intrinsic AV block. Sparse literature suggest some correlation between length of asystole and increased severity.[1]
- Given that extrinsic vagally mediated AV block is not associated with an innate conduction defect (seen in intrinsic paroxysmal AV block) and is at the level of the AV node, it is considered benign. [2]
- Given the absence of structural heart disease, the paroxysmal nature of the episodes and the low probability of progression into more severe forms of AV block, extrinsic idiopathic paroxysmal AV block has a good prognosis. [3]
References
- ↑ Lee S, Wellens HJ, Josephson ME (2009). "Paroxysmal atrioventricular block". Heart Rhythm. 6 (8): 1229–34. doi:10.1016/j.hrthm.2009.04.001. PMID 19632639.
- ↑ Alboni P, Holz A, Brignole M (2013). "Vagally mediated atrioventricular block: pathophysiology and diagnosis". Heart. 99 (13): 904–8. doi:10.1136/heartjnl-2012-303220. PMID 23286970.
- ↑ Guerrero-Márquez FJ, Arana-Rueda E, Pedrote A (2016). "Idiopathic Paroxysmal Atrio-Ventricular Block. What is The Mechanism?". J Atr Fibrillation. 9 (3): 1449. doi:10.4022/jafib.1449. PMC 5368548. PMID 28496928.