Third degree AV block screening: Difference between revisions

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==Screening==
==Screening==


*There is insufficient evidence to recommend routine screening for first degree AV block. However, screening for congenital AV block is recommended.
*There is insufficient evidence to recommend routine screening for third degree AV block. However, screening for congenital AV block is recommended.
*Recommendations include echocardiogram for newborns of pregnant women with SSA autoantiboides.
*Recommendations include echocardiogram for newborns of pregnant women with [[Autoantibodies|SSA autoantiboides]].
*Timing for screening:<ref name="pmid30137589">{{cite journal| author=Clowse MEB, Eudy AM, Kiernan E, Williams MR, Bermas B, Chakravarty E et al.| title=The prevention, screening and treatment of congenital heart block from neonatal lupus: a survey of provider practices. | journal=Rheumatology (Oxford) | year= 2018 | volume= 57 | issue= suppl_5 | pages= v9-v17 | pmid=30137589 | doi=10.1093/rheumatology/key141 | pmc=6099126 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30137589  }}</ref>
*Timing for screening:<ref name="pmid30137589">{{cite journal| author=Clowse MEB, Eudy AM, Kiernan E, Williams MR, Bermas B, Chakravarty E et al.| title=The prevention, screening and treatment of congenital heart block from neonatal lupus: a survey of provider practices. | journal=Rheumatology (Oxford) | year= 2018 | volume= 57 | issue= suppl_5 | pages= v9-v17 | pmid=30137589 | doi=10.1093/rheumatology/key141 | pmc=6099126 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30137589  }}</ref>
**Women with history of neonatal lupus, fetal Echos are recommended weekly then repeating the Echos every 3 or 4 weeks.
**Women with history of [[neonatal lupus]], fetal echos are recommended weekly then repeating the echos every 3 or 4 weeks.
**Women with prior infant with lupus, Echos are performed at the 16 weeks of gestation or 18 weeks.
**Women with prior infant with [[lupus]], echos are performed at the 16 weeks of gestation or 18 weeks.
*Fetal Echos can be stopped by the 23 weeks of gestation.
*Fetal echos can be stopped by the 23 weeks of [[gestation]].


==References==
==References==

Revision as of 02:07, 11 April 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]

Overview

There is insufficient evidence to recommend routine screening for third degree AV block. However, screening for congenital AV block is recommended.

Screening

  • There is insufficient evidence to recommend routine screening for third degree AV block. However, screening for congenital AV block is recommended.
  • Recommendations include echocardiogram for newborns of pregnant women with SSA autoantiboides.
  • Timing for screening:[1]
    • Women with history of neonatal lupus, fetal echos are recommended weekly then repeating the echos every 3 or 4 weeks.
    • Women with prior infant with lupus, echos are performed at the 16 weeks of gestation or 18 weeks.
  • Fetal echos can be stopped by the 23 weeks of gestation.

References

  1. Clowse MEB, Eudy AM, Kiernan E, Williams MR, Bermas B, Chakravarty E; et al. (2018). "The prevention, screening and treatment of congenital heart block from neonatal lupus: a survey of provider practices". Rheumatology (Oxford). 57 (suppl_5): v9–v17. doi:10.1093/rheumatology/key141. PMC 6099126. PMID 30137589.

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