Second degree AV block medical therapy

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Second degree AV block Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Second degree AV block from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

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Laboratory Findings

Electrocardiogram

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Salih, M.D. Cafer Zorkun, M.D., Ph.D. [2]

Medical Therapy

Mobitz I

  • Patients are usually asymptomatic and doesn't require a pacemaker.
  • Correction of reversible causes of the block such as ischemia, medications, and vagotonic conditions should be addressed.

Mobitz II

  • Correction of reversible causes of the block such as ischemia, medications, and vagotonic conditions should be considered.
  • Treatment may also include medicines to control blood pressure and atrial fibrillation, as well as lifestyle and dietary changes to reduce risk factors associated with heart attack and stroke.
  • Treatment in emergency situations are atropine and an external pacer.

Contraindicated medications

Second degree AV block(except in patients with a functioning artificial pacemaker) is considered an absolute contraindication to the use of the following medications:

References


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