Second degree AV block medical therapy: Difference between revisions
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* Treatment may also include medicines to control [[blood pressure]] and [[atrial fibrillation]], as well as lifestyle and dietary changes to reduce risk factors associated with [[myocardial infarction|heart attack]] and [[stroke]]. | * Treatment may also include medicines to control [[blood pressure]] and [[atrial fibrillation]], as well as lifestyle and dietary changes to reduce risk factors associated with [[myocardial infarction|heart attack]] and [[stroke]]. | ||
* Treatment in emergency situations are [[atropine]] and an [[external pacer]]. | * Treatment in emergency situations are [[atropine]] and an [[external pacer]]. | ||
===Contraindicated medications=== | |||
{{MedCondContrAbs | |||
|MedCond = Second degree AV block(except in patients with a functioning artificial pacemaker)|Adenosine}} | |||
==References== | ==References== |
Revision as of 20:17, 5 September 2014
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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]
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Medical Therapy
Mobitz I
- Patients are usually asymptomatic and doesn't require a pacemaker.
- Correction of reversible causes of the block such as ischemia, medications, and vagotonic conditions should be addressed.
Mobitz II
- Correction of reversible causes of the block such as ischemia, medications, and vagotonic conditions should be considered.
- Treatment may also include medicines to control blood pressure and atrial fibrillation, as well as lifestyle and dietary changes to reduce risk factors associated with heart attack and stroke.
- Treatment in emergency situations are atropine and an external pacer.
Contraindicated medications
Second degree AV block(except in patients with a functioning artificial pacemaker) is considered an absolute contraindication to the use of the following medications: