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Atrioventricular Block

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1. Atrioventricular block

Atrioventricular block Atrioventricular block - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Atrioventricular block Last reviewed: February 2019 Last updated: January 2018 Summary AV block can be described by degree (based on ECG appearance) or by anatomical level of block. The degree of AV block or anatomical level of block does not necessarily correlate with the severity of subsequent symptoms. The goals (...) of therapy are to treat symptoms and to prevent syncope and sudden cardiac death due to very slow or absent ventricular rates. Patients with advanced AV block (usually type II second-degree, third-degree, or infranodal AV block) of irreversible cause should undergo permanent pacemaker placement. Definition Atrioventricular (AV) block is a cardiac electrical disorder defined as impaired (delayed or absent) conduction from the atria to the ventricles. The severity of the conduction abnormality is described

2018 BMJ Best Practice

2. Use of biventricular pacing in atrioventricular heart block

Use of biventricular pacing in atrioventricular heart block Use of biventricular pacing in atrioventricular heart block Use of biventricular pacing in atrioventricular heart block Saab L, Suarthana E, Almeida N, Dendukuri N. Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Saab L, Suarthana E, Almeida N, Dendukuri N.. Use of biventricular (...) pacing in atrioventricular heart block. Montreal: Technology Assessment Unit of the McGill University Health Centre (MUHC). 2016 Authors' objectives The objective of this report is to systematically review the evidence for the use of BVP, as either a de novo implant or as an upgrade, in the management of AV block with normal left ventricular systolic function at the MUHC. Authors' conclusions The available evidence regarding the use of BVP in AV block patients is weak in terms of the number

2016 Health Technology Assessment (HTA) Database.

3. Use of Biventricular Pacing in Atrioventricular Heart Block

Use of Biventricular Pacing in Atrioventricular Heart Block Report available from http://www.mcgill.ca/tau Technology Assessment Unit of the McGill University Health Centre (MUHC) Use of Biventricular Pacing in Atrioventricular Heart Block Report number: 78 DATE: March 8, 2016 Report available from http://www.mcgill.ca/tau Report prepared for the Technology Assessment Unit (TAU)of the McGill University Health Centre (MUHC) by Lama Saab, Eva Suarthana, Nisha Almeida and Nandini Dendukuri (...) Approved by the Committee of the TAU on 29 January, 2016 TAU Committee Andre Bonnici, James Brophy, Christos Calaritis, Nandini Dendukuri, Liane Feldman, Patricia Lefebvre, Brenda MacGibbon-Taylor, Teresa Mack, Nancy Mayo, Maurice McGregor, Patty O’Connor Suggested citation Saab L., Suarthana E., Almeida N., Dendukuri N. Use of Biventricular Pacing in Atrioventricular Heart Block Montreal. (Canada): Technology Assessment Unit (TAU) of the McGill University Health Centre (MUHC); 8 March 2016. Report

2016 McGill TAU reports

4. Second-degree Atrioventricular Block: Conceptions and Misconceptions (PubMed)

Second-degree Atrioventricular Block: Conceptions and Misconceptions 29977560 2018 11 14 2050-3369 7 2 2018 Jun Arrhythmia & electrophysiology review Arrhythm Electrophysiol Rev Second-degree Atrioventricular Block: Conceptions and Misconceptions. 77-78 10.15420/aer.2018.7.2.EO1 Katritsis Demosthenes G DG Hygeia Hospital Athens, Greece. eng Journal Article Review England Arrhythm Electrophysiol Rev 101637930 2050-3369 Atrioventricular block His-Purkinje QRS complex type I block type II block

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2018 Arrhythmia & electrophysiology review

5. Single Versus Dual Lead Atrioventricular Sequential Pacing for Acquired Atrioventricular Block During Transcatheter Aortic Valve Implantation Procedures. (PubMed)

Single Versus Dual Lead Atrioventricular Sequential Pacing for Acquired Atrioventricular Block During Transcatheter Aortic Valve Implantation Procedures. Atrioventricular block (AVB) after transcatheter aortic valve implantation (TAVI) is common. Pacing platforms that preserve atrioventricular (AV) synchrony may be beneficial in these patients. Single lead AV sequential pacemakers (VDD) allow AV synchrony and, by virtue of implanting a single lead, can be advantageous when compared

2018 American Journal of Cardiology

6. Slow pathway modification for treatment of pseudo-pacemaker syndrome due to first-degree atrioventricular block with dual atrioventricular nodal physiology (PubMed)

Slow pathway modification for treatment of pseudo-pacemaker syndrome due to first-degree atrioventricular block with dual atrioventricular nodal physiology 29707483 2019 02 26 2214-0271 4 3 2018 Mar HeartRhythm case reports HeartRhythm Case Rep Slow pathway modification for treatment of pseudo-pacemaker syndrome due to first-degree atrioventricular block with dual atrioventricular nodal physiology. 98-101 10.1016/j.hrcr.2017.10.003 Lader Joshua M JM New York University School of Medicine, New (...) Pacemaker syndrome Pseudo-pacemaker syndrome Slow pathway Symptomatic first-degree AV block 2018 5 1 6 0 2018 5 1 6 0 2018 5 1 6 1 epublish 29707483 10.1016/j.hrcr.2017.10.003 S2214-0271(17)30171-9 PMC5919070 Pacing Clin Electrophysiol. 1996 May;19(5):747-51 8734740 Europace. 2010 Apr;12(4):594-6 19946114 Arch Cardiovasc Dis. 2013 Dec;106(12 ):690-3 23791585 JAMA. 2009 Jun 24;301(24):2571-7 19549974 J Cardiovasc Electrophysiol. 1993 Apr;4(2):178-82 8269289 J Cardiovasc Electrophysiol. 1994 Aug;5(8):645

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2017 HeartRhythm Case Reports

7. Computed tomography is important in appropriately diagnosing patients with third-degree atrioventricular block and second-degree atrioventricular block but not Wenckebach type. (PubMed)

Computed tomography is important in appropriately diagnosing patients with third-degree atrioventricular block and second-degree atrioventricular block but not Wenckebach type. To evaluate CT utility for detection of cardiac or lung abnormalities in the diagnosis of organic cardiac disease in subjects with second- or third-degree atrioventricular block (AVB) excepting Wenckebach type.A total of 50 consecutive patients (25 male; 64±15years) with de novo third- or second-degree AVB underwent both

2016 International journal of cardiology

8. Atrioventricular block after congenital heart surgery: Analysis from the Pediatric Cardiac Critical Care Consortium. (PubMed)

Atrioventricular block after congenital heart surgery: Analysis from the Pediatric Cardiac Critical Care Consortium. Our primary aims were to describe the contemporary epidemiology of postoperative high-grade atrioventricular block (AVB), the timing of recovery and permanent pacemaker (PPM) placement, and to determine predictors for development of and recovery from AVB.Patients who underwent congenital heart surgery from August 2014 to June 2017 were analyzed for AVB using the Pediatric Cardiac

2019 Journal of Thoracic and Cardiovascular Surgery

9. Permanent left bundle branch area pacing for atrioventricular block: feasibility, safety and acute effect. (PubMed)

Permanent left bundle branch area pacing for atrioventricular block: feasibility, safety and acute effect. Left bundle branch area pacing (LBBAP), a new pacing approach, lacks adequate evaluation.To assess the feasibility, safety, and acute effect of permanent LBBAP in patients with atrioventricular block (AVB).A total of 33 AVB patients with indications for ventricular pacing were recruited. Electrocardiograms, pacing parameters, echocardiographic measurements and complications associated (...) with LBBAP were evaluated perioperatively and at 3-month follow-up. Successful LBBAP was defined as a paced QRS morphology of right bundle branch block pattern in lead V1 and QRS duration (QRSd) less than 130 ms.LBBAP was successfully performed in 90.9% (30/33) of patients (mean age: 55.1±18.5 years; 66.7% male). The mean capture threshold was similar during the procedure (0.76±0.26 V at 0.4 ms) and at the 3-month follow-up (0.64±0.20 V at 0.4 ms). The paced QRSd was 112.8 ± 10.9 ms during the procedure

2019 Heart Rhythm

10. Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope (PubMed)

Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope A 59-year-old male patient was admitted with the main complaints of stuffiness and shortness of breath. An ECG from precordial leads on admission showed masquerading bundle branch block. Syncope frequently occurred after admission. During syncope episodes, ECG telemetry showed that the syncope was caused by intermittent complete atrioventricular block, with the longest RR (...) interval lasting for 4.36 s. At the gap of syncope, ECG showed complete right bundle branch block accompanied by alternation of left anterior fascicular block and left posterior fascicular block. The patient was implanted with a dual-chamber permanent pacemaker. Follow-up of 9 months showed no reoccurrence of syncope.

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2017 The Journal of international medical research

11. Treatment of intrahepatic cholestasis of pregnancy with ursodeoxycholic acid associated with improvement of fetal first-degree atrioventricular block. (PubMed)

Treatment of intrahepatic cholestasis of pregnancy with ursodeoxycholic acid associated with improvement of fetal first-degree atrioventricular block. 29484735 2018 12 08 1469-0705 52 6 2018 Dec Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology Ultrasound Obstet Gynecol Treatment of intrahepatic cholestasis of pregnancy with ursodeoxycholic acid associated with improvement of fetal first-degree atrioventricular (...) block. 801-802 10.1002/uog.19032 Rodríguez M M Department of Obstetrics and Gynecology, Faculty of Medicine, Universidad de Valparaíso, Valparaíso, Chile. Fetal Medicine Unit, Department of Obstetrics and Gynecology, Hospital Van Buren, Valparaíso, Chile. Sprohnle A A Department of Obstetrics and Gynecology, Faculty of Medicine, Universidad de Valparaíso, Valparaíso, Chile. Muñoz J J Department of Obstetrics and Gynecology, Faculty of Medicine, Universidad de Valparaíso, Valparaíso, Chile. Cadena C

2018 Ultrasound in Obstetrics and Gynecology

12. Maternal steroid therapy for fetuses with second degree immune-mediated congenital atrioventricular block: a systematic review and meta-analysis. (PubMed)

Maternal steroid therapy for fetuses with second degree immune-mediated congenital atrioventricular block: a systematic review and meta-analysis. The aim of this study was to explore the effect of maternal fluorinated steroid therapy on fetuses affected by second-degree immune-mediated congenital atrioventricular block.Studies reporting the outcome of fetuses with second-degree immune-mediated congenital atrioventricular block diagnosed on prenatal ultrasound and treated with fluorinated (...) steroids compared with those not treated were included. The primary outcome was the overall progression of congenital atrioventricular block to either continuous or intermittent third-degree congenital atrioventricular block at birth. Meta-analyses of proportions using random effect model and meta-analyses using individual data random-effect logistic regression were used.Five studies (71 fetuses) were included. The progression rate to congenital atrioventricular block at birth in fetuses treated

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2018 Acta Obstetricia et Gynecologica Scandinavica

13. Prolonged PR Interval at Birth Predicting the High Occurrence of Fatal Atrioventricular Block in Hypoplastic Left Heart Syndrome. (PubMed)

Prolonged PR Interval at Birth Predicting the High Occurrence of Fatal Atrioventricular Block in Hypoplastic Left Heart Syndrome. Infants with hypoplastic left heart syndrome (HLHS) are at high mortality especially when they are associated with bradyarrhythmias. However, the risk factor of developing high-grade atrioventricular block (HAVB) is still unclear. Seventy-three patients with HLHS in our institutions from 2002 to 2011 were enrolled. The survival rate was assessed by the anatomical

2018 Pediatric Cardiology

14. Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report. (PubMed)

Complete atrioventricular block as an initial manifestation of recurred oral cavity cancer: a case report. Intracardiac invasion of head and neck cancer is extremely rare. Here, we report a case of recurred oral cavity cancer presenting with complete atrioventricular (AV) block caused by cardiac metastasis.A 70-year-old male presented with dizziness for 2 days. He had a history of oral cavity cancer a year ago, and the tumor was treated by surgical excision after induction chemotherapy (...) interventricular septum and atrioventricular node indicating recurred oral cavity cancer with cardiac metastasis. Permament pacemaker of DDD type was implanted for the symptomatic complete AV block, and palliative chemotherapy was initiated.The present case demonstrated that oral cavity cancer can metastasize to the heart, and complete AV block may be an initial manifestation of the recurrence of extracardiac cancer with intracardiac invasion.

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2018 BMC Cardiovascular Disorders

15. Lyme Carditis and High-Degree Atrioventricular Block. (PubMed)

Lyme Carditis and High-Degree Atrioventricular Block. Canada has seen a sixfold increase in Lyme disease since being nationally notifiable in 2009. This is the first Canadian series on Lyme carditis manifested as high-degree atrioventricular block. We report 5 recent cases presented over a 2-year period. The variation of nonspecific presentations requires a high index of suspicion for prompt diagnosis and correct management. Recognizing this early would curtail the progression of conduction

2018 American Journal of Cardiology

16. Major determinant of the occurrence of pacing-induced cardiomyopathy in complete atrioventricular block: a multicentre, retrospective analysis over a 15-year period in South Korea. (PubMed)

Major determinant of the occurrence of pacing-induced cardiomyopathy in complete atrioventricular block: a multicentre, retrospective analysis over a 15-year period in South Korea. The predictors of pacing-induced cardiomyopathy (PICM) for complete atrioventricular block (CAVB) have not yet been defined. The aim of this study was to investigate the major determinant of the occurrence of PICM.This is a multicentre, retrospective analysis of CAVB from tertiary referral centres in Daejeon, South

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2018 BMJ open

17. Marked First-Degree Atrioventricular Block and Pseudo-Pacemaker Syndrome in a Pediatric Patient. (PubMed)

Marked First-Degree Atrioventricular Block and Pseudo-Pacemaker Syndrome in a Pediatric Patient. We describe a 17-year-old female who presented with 3 weeks of abdominal pain, exercise intolerance, and an episode of altered mental status found to have marked first-degree atrioventricular block. Exercise stress test and cardiac catheterization demonstrated pseudo-pacemaker syndrome, and a permanent pacemaker was placed. Following placement, she has resolution of symptoms and markedly improved

2018 Pediatric Cardiology

18. A Case of Atrioventricular Block Potentially Associated with Right Coronary Artery Lesion and Ticagrelor Therapy Mediated by the Increasing Adenosine Plasma Concentration (PubMed)

A Case of Atrioventricular Block Potentially Associated with Right Coronary Artery Lesion and Ticagrelor Therapy Mediated by the Increasing Adenosine Plasma Concentration To report a case of atrioventricular block (AVB) which might be associated with the right coronary artery lesion and the novel oral antithrombotic drug ticagrelor mediated by the increasing adenosine plasma concentration (APC).A 65-year-old man was given loading dose of ticagrelor (180 mg) before coronary angiography (...) shifting to clopidogrel, the ECG showed normal sinus rhythm and PR interval depressed to 190 ms and APC dropped from 1.62 umol/L to 0.92 umol/L. The bradycardia and AVB did not occur in the three-month follow-up.It was important to take the ticagrelor induced bradycardia into account particularly with the myocardial infarction of right coronary artery, treated with atrioventricular block drugs after initiating ticagrelor. Also, we should shift ticagrelor to clopidogrel if AVB occurred.

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2018 Case reports in vascular medicine

19. Full Atrioventricular Block Secondary to Acute Poisoning Mercury: A Case Report (PubMed)

Full Atrioventricular Block Secondary to Acute Poisoning Mercury: A Case Report Background: The biological behaviour and clinical significance of mercury toxicity vary according to its chemical structure. Mercury differs in its degree of toxicity and in its effects on the nervous, digestive and immune systems as well as on organs such as the lungs, kidneys, skin, eyes and heart. Human exposure occurs mainly through inhalation of elemental mercury vapours during industrial and artisanal (...) showed flow cephalization, diffuse bilateral infiltrates with right basal predominance. In addition, the patient presented data of low secondary expenditure to third-degree atrioventricular (AV) block for which the placement of a transvenous pacemaker was decided, substantially improving the haemodynamic parameters. Subsequently, after a family interrogation, the diagnosis of mercury inhalation poisoning was established. An initial detection of mercury concentration (Hg(0)) was carried out, reporting

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2018 International journal of environmental research and public health

20. Recovery of High Degree Atrioventricular Block in a Patient with Cardiac Sarcoidosis by Corticosteroid Therapy (PubMed)

Recovery of High Degree Atrioventricular Block in a Patient with Cardiac Sarcoidosis by Corticosteroid Therapy 29399570 2018 11 13 2233-7385 54 1 2018 Jan Chonnam medical journal Chonnam Med J Recovery of High Degree Atrioventricular Block in a Patient with Cardiac Sarcoidosis by Corticosteroid Therapy. 74-75 10.4068/cmj.2018.54.1.74 Park Hyukjin H Division of Cardiology, Chonnam National University Hospital, Gwangju, Korea. Park Jong Chun JC Division of Cardiology, Chonnam National University

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2018 Chonnam medical journal

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