Second degree AV block echocardiography: Difference between revisions
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{{Second degree AV block}} | {{Second degree AV block}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{Sara.Zand}} | ||
==Overview== | ==Overview== | ||
[[Echocardiography]] is useful for finding the underlying [[structural heart disease]] including [[left ventricular systolic dysfunction]] in [[patients]] with [[atrioventricular block]], especially in the presence of [[LBBB]] pattern on resting [[ECG]]. | |||
==[[Echocardiography]]== | |||
==Echocardiography/ | *[[Echocardiography]] is useful for finding the underlying [[structural heart disease]] including [[left ventricular systolic dysfunction]] in [[patients]] with [[atrioventricular block]], especially in the presence of [[LBBB]] pattern on resting [[ECG]]. | ||
*[[Echocardiography]] can be initial evaluation in [[patients]] presented with [[bradycardia]] associated with [[atrioventricular block]] for finding the underlying [[cardiomyopathy]], [[valvular heart disease]], [[congenital anomalies]], [[tumors]], [[infections]], [[infiltrative]] processes, [[immunologically]] mediated [[conditions]], and diseases of the [[great vessels]] and [[pericardium]] especially with manifestation of [[cardiac]] [[syncope]].<ref name="pmid21338862">{{cite journal |vauthors=Douglas PS, Garcia MJ, Haines DE, Lai WW, Manning WJ, Patel AR, Picard MH, Polk DM, Ragosta M, Parker Ward R, Weiner RB |title=ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriate Use Criteria for Echocardiography. A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance American College of Chest Physicians |journal=J Am Soc Echocardiogr |volume=24 |issue=3 |pages=229–67 |date=March 2011 |pmid=21338862 |doi=10.1016/j.echo.2010.12.008 |url=}}</ref> | |||
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| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center |'''Recommendations for Echocardiography in Bradycardia or Conduction disorder''' | |||
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |'''[[Echocardiography]] ([[ACC AHA guidelines classification scheme|Class I, Level of Evidence B]]):''' | |||
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|style="padding: 0 5px; font-size: 100%; background: #F5F5F5; width: 70%" align=left| | |||
❑ [[Echocardiography]] is recommended in [[patients]] with newly identified [[LBBB]], [[second-degree Mobitz type II atrioventricular block]], [[high-grade atrioventricular block]], or [[third-degree atrioventricular block]] with or without apparent [[structural heart disease]] or [[coronary artery disease]]<br> | |||
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left|''' [[Echocardiography]] ([[ACC AHA guidelines classification scheme| Class IIa, Level of Evidence B]]) :''' | |||
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|style="padding: 0 5px; font-size: 100%; background: #F5F5F5; width: 70%" align=left| | |||
❑ [[Echocardiography]] is recommended in suspicion of [[structural heart disease]] in [[patients]] presented with [[bradycardia]] or [[conduction disorders]] other than [[LBBB]], [[second-degreeMobitz type II atrioventricular block]], [[high-grade atrioventricular block]], or [[third-degree atrioventricular block]] | |||
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<span style="font-size:85%">'''Abbreviations:''' | |||
'''LBBB:''' [[Left bundle branch block]] | |||
</span> | |||
<br> | |||
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! colspan="2" style="background: PapayaWhip;" align="center" + |The above table adopted from 2018 AHA/ACC/HRS Guideline<ref name="KusumotoSchoenfeld2019">{{cite journal|last1=Kusumoto|first1=Fred M.|last2=Schoenfeld|first2=Mark H.|last3=Barrett|first3=Coletta|last4=Edgerton|first4=James R.|last5=Ellenbogen|first5=Kenneth A.|last6=Gold|first6=Michael R.|last7=Goldschlager|first7=Nora F.|last8=Hamilton|first8=Robert M.|last9=Joglar|first9=José A.|last10=Kim|first10=Robert J.|last11=Lee|first11=Richard|last12=Marine|first12=Joseph E.|last13=McLeod|first13=Christopher J.|last14=Oken|first14=Keith R.|last15=Patton|first15=Kristen K.|last16=Pellegrini|first16=Cara N.|last17=Selzman|first17=Kimberly A.|last18=Thompson|first18=Annemarie|last19=Varosy|first19=Paul D.|title=2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society|journal=Circulation|volume=140|issue=8|year=2019|issn=0009-7322|doi=10.1161/CIR.0000000000000628}}</ref> | |||
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==References== | ==References== | ||
Latest revision as of 07:47, 11 July 2021
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Second degree AV block Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Second degree AV block echocardiography On the Web |
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American Roentgen Ray Society Images of Second degree AV block echocardiography |
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Risk calculators and risk factors for Second degree AV block echocardiography |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2]
Overview
Echocardiography is useful for finding the underlying structural heart disease including left ventricular systolic dysfunction in patients with atrioventricular block, especially in the presence of LBBB pattern on resting ECG.
Echocardiography
- Echocardiography is useful for finding the underlying structural heart disease including left ventricular systolic dysfunction in patients with atrioventricular block, especially in the presence of LBBB pattern on resting ECG.
- Echocardiography can be initial evaluation in patients presented with bradycardia associated with atrioventricular block for finding the underlying cardiomyopathy, valvular heart disease, congenital anomalies, tumors, infections, infiltrative processes, immunologically mediated conditions, and diseases of the great vessels and pericardium especially with manifestation of cardiac syncope.[1]
| Recommendations for Echocardiography in Bradycardia or Conduction disorder |
| Echocardiography (Class I, Level of Evidence B): |
|
❑ Echocardiography is recommended in patients with newly identified LBBB, second-degree Mobitz type II atrioventricular block, high-grade atrioventricular block, or third-degree atrioventricular block with or without apparent structural heart disease or coronary artery disease |
| Echocardiography ( Class IIa, Level of Evidence B) : |
|
❑ Echocardiography is recommended in suspicion of structural heart disease in patients presented with bradycardia or conduction disorders other than LBBB, second-degreeMobitz type II atrioventricular block, high-grade atrioventricular block, or third-degree atrioventricular block |
Abbreviations:
LBBB: Left bundle branch block
| The above table adopted from 2018 AHA/ACC/HRS Guideline[2] |
|---|
References
- ↑ Douglas PS, Garcia MJ, Haines DE, Lai WW, Manning WJ, Patel AR, Picard MH, Polk DM, Ragosta M, Parker Ward R, Weiner RB (March 2011). "ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriate Use Criteria for Echocardiography. A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance American College of Chest Physicians". J Am Soc Echocardiogr. 24 (3): 229–67. doi:10.1016/j.echo.2010.12.008. PMID 21338862.
- ↑ Kusumoto, Fred M.; Schoenfeld, Mark H.; Barrett, Coletta; Edgerton, James R.; Ellenbogen, Kenneth A.; Gold, Michael R.; Goldschlager, Nora F.; Hamilton, Robert M.; Joglar, José A.; Kim, Robert J.; Lee, Richard; Marine, Joseph E.; McLeod, Christopher J.; Oken, Keith R.; Patton, Kristen K.; Pellegrini, Cara N.; Selzman, Kimberly A.; Thompson, Annemarie; Varosy, Paul D. (2019). "2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 140 (8). doi:10.1161/CIR.0000000000000628. ISSN 0009-7322.