Third degree AV block risk factors
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Soroush Seifirad, M.D.[3] Aditya Ganti M.B.B.S. [4]
Overview
Common risk factors associated atioventricular block include older age, male sex, history of myocardial infarction, history of [[congestive heart disease],high systolic blood pressure, increased fasting blood glucose level.
Risk Factors
- Common risk factors associated atioventricular block include:[1]
- Older age
- Male sex
- History of myocardial infarction
- History of congestive heart disease
- High systolic blood pressure
- Increased fasting blood glucose level
- Common risk factors associated atrioventricular block after cardiac surgery include:[2]
- Older age
- Atrial fibrillation
- Prior surgery
- Preoperative renal failure
- Active endocarditis
- Common risk factor associated intraoperative bradycardia and hypotension in patients undergoing non-cardiac surgery include:[3]
- Age (>60-65 years of age)
- Comorbidities
- Lower heart rates (<60 bpm) or blood pressure (<110/60 mm Hg) at baseline
- Use of concomitant drugs such as beta-blockers, renin-angiotensin system blockers
- Preoperative RBBB
- Multivalve surgery , especially tricuspid valve
- Preoperative LBBB
- Preoperative PR interval >200 ms
- Prior valve surgery
- Age >70 years
- Reoperations
- Longer times of cross-clamp
- Absence of preoperative sinus rhythm
References
- ↑ Kerola T, Eranti A, Aro AL, Haukilahti MA, Holkeri A, Junttila MJ; et al. (2019). "Risk Factors Associated With Atrioventricular Block". JAMA Netw Open. 2 (5): e194176. doi:10.1001/jamanetworkopen.2019.4176. PMC 6632153 Check
|pmc=value (help). PMID 31125096. - ↑ Bougioukas I, Jebran AF, Grossmann M, Friedrich M, Tirilomis T, Schoendube FA, Danner BC (January 2017). "Is there a correlation between late re-exploration after cardiac surgery and removal of epicardial pacemaker wires?". J Cardiothorac Surg. 12 (1): 3. doi:10.1186/s13019-017-0569-5. PMC 5264443. PMID 28122567.
- ↑ Unnikrishnan D, Idris N, Varshneya N (November 2003). "Complete heart block during central venous catheter placement in a patient with pre-existing left bundle branch block". Br J Anaesth. 91 (5): 747–9. doi:10.1093/bja/aeg242. PMID 14570803.
- ↑ Goldman BS, Hill TJ, Weisel RD, Scully HE, Mickleborough LL, Pym J, Baird RJ (May 1984). "Permanent cardiac pacing after open-heart surgery: acquired heart disease". Pacing Clin Electrophysiol. 7 (3 Pt 1): 367–71. doi:10.1111/j.1540-8159.1984.tb04919.x. PMID 6204288.