Second degree AV block physical examination: Difference between revisions
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=== Appearance of the patient === | === Appearance of the patient === | ||
* Patients with second degree AV block type I (Mobitz I) are usually asymptomatic. | * Patients with second degree AV block type I (Mobitz I) are usually asymptomatic.<ref name="pmid30586772">{{cite journal| author=Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR | display-authors=etal| title=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. | journal=Circulation | year= 2019 | volume= 140 | issue= 8 | pages= e382-e482 | pmid=30586772 | doi=10.1161/CIR.0000000000000628 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30586772 }}</ref> | ||
* 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. | ||
=== Vitals === | |||
* Bradycardia with irregular pulse | |||
* Lightheadedness | |||
* Hypotension | |||
* Syncope or presyncope | |||
=== Heart === | |||
<br /> | |||
* | * | ||
Revision as of 21:22, 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.
Vitals
- Bradycardia with irregular pulse
- Lightheadedness
- Hypotension
- Syncope or presyncope
Heart
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.