Third degree AV block physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]

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Physical Examination

Appearance of the Patient

The patient may present with altered mental status because of hypoperfusion. Patient may be diaphoretic and pale experiencing severe chest pain if the cause of complete heart block is myocardial infarction.

Vitals

Pulse

• Bradycardia may be present.

Respiratory Rate

• Tachypnea may be present.

Skin

• Skin rash may be present if the cause of complete heart block is endocarditis or rheumatic fever or Lyme disease.

Neck

• Cannon A waves may be seen often.
• Elevated JVP may be seen if heart failure is present.

Lungs

• Basilar rales may be heard.

Heart

Auscultation

• S₃ gallop may be heard in the presence of heart failure.

Extremities

• Pedal edema may be present.

References

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