Second degree AV block other diagnostic studies
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]
Overview
Recommendations for management of bradycardia associated atrioventricular block |
(Class III (Harm), Level of Evidence C): |
❑ Permanent pacing is not recommended in patients with first degree atrioventricular block or mobitz type 1 second degree atrioventricular block (wenchebach), or 2:1 atrioventricular block when the level of block is in atrioventricular node or symptoms are not related to atrioventricular block |
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| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center |Additional testing for management of bradycardia associated atrioventricular block
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Ambulatory electrocardiographic monitoring (Class IIa , Level of Evidence B):
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❑ Ambulatory electrocardiographic monitoring is recommended in patients with first degree AV block, or mobitz tyoe 1 second degree AV block to establish the correlation between symptoms related to bradycardia (lightheadness, syncope) and atrioventricular block
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Exercise treadmill test (Class IIa , Level of Evidence C):
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❑ Exercise treadmill test is reasonable in patients with first degree AV block or mobitz type 1 second degree AV block in resting ECG who have chest pain or shrtness of breath during exercise to identify the benefit of permanent pacing
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Electrophysiologic study (Class IIb , Level of Evidence B):
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❑EPS may be considered in selective patients with second degree AV block to determine the level of block
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Pharmacologic challenge tests (Class IIb , Level of Evidence C):
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❑Atripine, procainamide, isoproternole, carotide sinus massage may be used in selected patients with second degree AV block]] to determine the level of block and benefit from permanent pacing
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Other diagnostic studies
There are no other diagnostic studies associated with second degree AV block.