First degree AV block medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
* Correction of reversible causes of the block such as ischemia, medications, electrolyte imbalances, and vagotonic conditions should be considered. | * Correction of reversible causes of the block such as [[ischemia]], medications, electrolyte imbalances, and vagotonic conditions should be considered. | ||
* Treatment in emergency situations are [[atropine]] and an [[external pacer]]. | * Treatment in emergency situations are [[atropine]] and an [[external pacer]]. | ||
* Implantation of permanent | * Implantation of [[permanent pacemaker]]s 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]]. | * 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]]. | ||
Revision as of 14:41, 4 February 2013
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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
- Correction of reversible causes of the block such as ischemia, medications, electrolyte imbalances, and vagotonic conditions should be considered.
- Treatment in emergency situations are atropine 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.