Paroxysmal AV Block Epidemiology: Difference between revisions

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Created page with "*Given the difficulty in diagnosis, sporadic presentation and sparse literature available, the exact incidence and prevalence of paroxysmal AV block is unknown. *'''An unpubl..."
 
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**However, the association between paroxysmal AV block and RBBB is a matter of much debate, as it is not sure whether RBBB causes a direct effect or is a sign seen in an aging population. <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>
**However, the association between paroxysmal AV block and RBBB is a matter of much debate, as it is not sure whether RBBB causes a direct effect or is a sign seen in an aging population. <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>


*'''The ISSUE 2 study''' was characterised by a population of individuals with a high mean age, a history of recurrent syncope beginning in middle or older ages, and frequent injuries probably due to presentation without warning.<ref name="pmid16569653">{{cite journal| author=Brignole M, Sutton R, Menozzi C, Garcia-Civera R, Moya A, Wieling W | display-authors=etal| title=Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope. | journal=Eur Heart J | year= 2006 | volume= 27 | issue= 9 | pages= 1085-92 | pmid=16569653 | doi=10.1093/eurheartj/ehi842 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16569653  }} </ref>
*'''The ISSUE 2 study''' was characterised by a population of individuals with a '''high mean age, a history of recurrent syncope beginning in middle or older ages, and frequent injuries''' probably due to presentation without warning.<ref name="pmid16569653">{{cite journal| author=Brignole M, Sutton R, Menozzi C, Garcia-Civera R, Moya A, Wieling W | display-authors=etal| title=Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope. | journal=Eur Heart J | year= 2006 | volume= 27 | issue= 9 | pages= 1085-92 | pmid=16569653 | doi=10.1093/eurheartj/ehi842 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16569653  }} </ref>

Revision as of 10:26, 15 June 2020

  • Given the difficulty in diagnosis, sporadic presentation and sparse literature available, the exact incidence and prevalence of paroxysmal AV block is unknown.
  • An unpublished study done at Beth Israel Deaconess Medical Centre in collaboration with a cardiology department in the Netherlands found that paroxysmal AV block was most associated with RBBBs followed by LBBBs, intraventricular conduction delays and normal QRS complexes.
    • An age presentation of 26-99 years of age, an equal incidence in both men and women and an increased prevalence in older individuals were also seen.
    • However, the association between paroxysmal AV block and RBBB is a matter of much debate, as it is not sure whether RBBB causes a direct effect or is a sign seen in an aging population. [1]
  • The ISSUE 2 study was characterised by a population of individuals with a high mean age, a history of recurrent syncope beginning in middle or older ages, and frequent injuries probably due to presentation without warning.[2]
  1. 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.
  2. Brignole M, Sutton R, Menozzi C, Garcia-Civera R, Moya A, Wieling W; et al. (2006). "Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope". Eur Heart J. 27 (9): 1085–92. doi:10.1093/eurheartj/ehi842. PMID 16569653.