First degree AV block medical therapy

First degree AV block Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Salih, M.D., Cafer Zorkun, M.D., Ph.D. [2]

Medical Therapy

• Correction of reversible causes of the block such as ischemia, medications, electrolyte imbalances, and vagotonic conditions should be considered.
• Treatment in emergency situations (severe bradycardia) includes atropine/isoproterenol and an external pacer.
• Implantation of permanent pacemakers is not usually indicated in first degree heart block.
• This condition does not require admission unless there is an associated myocardial infarction. Even though it usually does not progress to higher forms of heart block, it may require outpatient follow up and monitoring of the EKG especially if there is an associated bundle branch block.

References

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