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==Overview==
==Overview==


An atrioventricular block (or AV block) is a type of [[heart block]] involving an impairment of the conduction between the [[atria]] and [[ventricles]] of the heart.<ref>{{Dorlands|b_16|12188991}}</ref>  It usually involves the [[atrioventricular node]], but it can involve other structures too. AV block is categorized by degree and site of conduction block. In first-degree AV block, all atrial impulses are conducted to the ventricle. However, there is a delay within the [[AV node]], resulting in a [[prolonged PR interval]] on [[ECG]] (>200 msec or >5 small blocks).
An atrioventricular block (or AV block) is a type of [[heart block]] involving an impairment of the conduction between the [[atria]] and [[ventricles]] of the heart.<ref>{{Dorlands|b_16|12188991}}</ref>  It usually involves the [[atrioventricular node]], but it can involve other structures too. AV block is categorized by degree and site of conduction block. In first-degree AV block, all atrial impulses are conducted to the ventricle. However, there is a delay within the [[AV node]], resulting in a [[prolonged PR interval]] on [[ECG]] (>200 msec or >5 small blocks). In other words, first degree clock is a slowed conduction without loss of atrioventricular synchrony.


==Causes==
==Causes==

Revision as of 21:06, 21 August 2013

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: Cafer Zorkun, M.D., Ph.D. [2]; Raviteja Guddeti, M.B.B.S. [3]
Synonyms and keywords:; AV block, atrioventricular block, heart block

Overview

An atrioventricular block (or AV block) is a type of heart block involving an impairment of the conduction between the atria and ventricles of the heart.[1] It usually involves the atrioventricular node, but it can involve other structures too. AV block is categorized by degree and site of conduction block. In first-degree AV block, all atrial impulses are conducted to the ventricle. However, there is a delay within the AV node, resulting in a prolonged PR interval on ECG (>200 msec or >5 small blocks). In other words, first degree clock is a slowed conduction without loss of atrioventricular synchrony.

Causes

Life Threatening Causes

Life-threatening conditions can result in death or permanent disability within 24 hours if left untreated.

Common Causes

Causes by Organ System

Cardiovascular AV nodal disease, Myocarditis, Acute myocardial infarction (especially acute inferior MI), Hypertension, Acute rheumatic fever, Dilated cardiomyopathy, HCM, Myocarditis, Valvular heart disease, Transposition of the great vessels, ASDs, Ebstein's anomaly, VSD, Tetralogy of Fallot, Endocardial cushion defect, Lev's disease
Chemical / poisoning No underlying causes
Dermatologic No underlying causes
Drug Side Effect Calcium channel blockers, Beta-blockers, Digitalis, Cardiac glycosides, Cholinesterase inhibitors, Quinidine, Procainamide, Disopyramide, Flecainide, Encainide, Propafenone, Amiodarone, Sotalol, Dofetilide, Ibutilide, Magnesium
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic Hemochromatosis
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease Acute rheumatic fever, Chagas disease, Diphtheria, Lyme disease, Myocarditis, Tuberculosis
Musculoskeletal / Ortho Ankylosing spondylitis, Muscular dystrophy
Neurologic No underlying causes
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Sarcoidosis
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy Ankylosing spondylitis, Dermatomyositis, Scleroderma, SLE, Rheumatoid arthritis
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Dental No underlying causes
Miscellaneous Amyloidosis, Enhanced vagal tone (for example in athletes), Normal variants

Causes in Alphabetical Order

References


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