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Paroxysmal Atrioventricular Block by ECG Finding

MedGen UID:
364173
•Concept ID:
C1882293
•
Pathologic Function
Synonyms: Paroxysmal Atrioventricular Block; Paroxysmal Atrioventricular Block by EKG Finding; Paroxysmal AV Block

Definition

An electrocardiographic finding of the sudden onset of transient AV block, which is often associated with preexisting conduction disorders. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVParoxysmal Atrioventricular Block by ECG Finding

Professional guidelines

PubMed

Novel Therapeutic Options in the Management of Reflex Syncope.
Podoleanu C, Deharo JC
Am J Ther 2019 Mar/Apr;26(2):e268-e275. doi: 10.1097/MJT.0000000000000923. PMID: 30839375
Lacosamide as a new treatment option in status epilepticus.
Höfler J, Trinka E
Epilepsia 2013 Mar;54(3):393-404. Epub 2013 Jan 7 doi: 10.1111/epi.12058. PMID: 23293881
Fetal arrhythmia: prenatal diagnosis and perinatal management.
Maeno Y, Hirose A, Kanbe T, Hori D
J Obstet Gynaecol Res 2009 Aug;35(4):623-9. doi: 10.1111/j.1447-0756.2009.01080.x. PMID: 19751319

Recent clinical studies

Etiology

High-grade idiopathic atrioventricular block in childhood: Case report and literature review.
Gutiérrez-Gallego JM, Estrada-Perez MF, Barrios-Arroyave FA, Torrente-López JD, Correal-Barrios A
Medwave 2022 Jun 15;22(5):e8743. doi: 10.5867/medwave.2022.05.002535. PMID: 35704901
Novel Therapeutic Options in the Management of Reflex Syncope.
Podoleanu C, Deharo JC
Am J Ther 2019 Mar/Apr;26(2):e268-e275. doi: 10.1097/MJT.0000000000000923. PMID: 30839375
Clinical and electrophysiological characteristics of patients with paroxysmal intra-His block with narrow QRS complexes.
Ragupathi L, Johnson D, Greenspon A, Frisch D, Ho RT, Pavri BB
Heart Rhythm 2018 Sep;15(9):1372-1377. Epub 2018 Apr 18 doi: 10.1016/j.hrthm.2018.04.013. PMID: 29678778
Electrocardiographic and chronobiological features of paroxysmal AV block recorded by ambulatory electrocardiography.
Saito K, Takeda S, Saito Y, Kawamura M, Yoshikawa Y, Yano H, Sata M
J Med Invest 2014;61(3-4):380-7. doi: 10.2152/jmi.61.380. PMID: 25264058
Paroxysmal atrioventricular block.
Lee S, Wellens HJ, Josephson ME
Heart Rhythm 2009 Aug;6(8):1229-34. Epub 2009 Apr 5 doi: 10.1016/j.hrthm.2009.04.001. PMID: 19632639

Diagnosis

Paroxysmal AV Block.
Cherian TS, Thosani A
Am J Med 2023 Apr;136(4):e61-e62. Epub 2022 Dec 8 doi: 10.1016/j.amjmed.2022.10.024. PMID: 36502954
Paroxysmal Atrioventricular Block.
Hyman MC, Papireddy M, Frankel DS
JAMA Intern Med 2021 Aug 1;181(8):1108-1109. doi: 10.1001/jamainternmed.2021.2526. PMID: 34125143
Idiopathic paroxysmal atrioventricular block.
Lin XS, Li Y, Huang L, Weng CL
Intensive Care Med 2021 Oct;47(10):1156-1157. Epub 2021 May 28 doi: 10.1007/s00134-021-06442-x. PMID: 34050390
Vagally mediated atrioventricular block: pathophysiology and diagnosis.
Alboni P, Holz A, Brignole M
Heart 2013 Jul;99(13):904-8. Epub 2013 Jan 2 doi: 10.1136/heartjnl-2012-303220. PMID: 23286970
Paroxysmal atrioventricular block.
Lee S, Wellens HJ, Josephson ME
Heart Rhythm 2009 Aug;6(8):1229-34. Epub 2009 Apr 5 doi: 10.1016/j.hrthm.2009.04.001. PMID: 19632639

Therapy

Novel Therapeutic Options in the Management of Reflex Syncope.
Podoleanu C, Deharo JC
Am J Ther 2019 Mar/Apr;26(2):e268-e275. doi: 10.1097/MJT.0000000000000923. PMID: 30839375
Syncope associated with documented paroxysmal atrioventricular block reproduced by adenosine 5' triphosphate injection.
Blanc JJ, Le Dauphin C
Europace 2014 Jun;16(6):923-7. Epub 2013 Oct 14 doi: 10.1093/europace/eut322. PMID: 24128810
Adenosine in the episodic treatment of paroxysmal supraventricular tachycardia.
Parker RB, McCollam PL
Clin Pharm 1990 Apr;9(4):261-71. PMID: 2184971
Verapamil in arrhythmia.
Krikler DM
Br J Clin Pharmacol 1986;21 Suppl 2(Suppl 2):183S-189S. doi: 10.1111/j.1365-2125.1986.tb02869.x. PMID: 3530300Free PMC Article
The tachycardia-bradycardia syndrome.
Kaplan BM
Med Clin North Am 1976 Jan;60(1):81-99. doi: 10.1016/s0025-7125(16)31921-6. PMID: 1107695

Prognosis

Clinical and electrophysiological characteristics of patients with paroxysmal intra-His block with narrow QRS complexes.
Ragupathi L, Johnson D, Greenspon A, Frisch D, Ho RT, Pavri BB
Heart Rhythm 2018 Sep;15(9):1372-1377. Epub 2018 Apr 18 doi: 10.1016/j.hrthm.2018.04.013. PMID: 29678778
Vagally mediated atrioventricular block: pathophysiology and diagnosis.
Alboni P, Holz A, Brignole M
Heart 2013 Jul;99(13):904-8. Epub 2013 Jan 2 doi: 10.1136/heartjnl-2012-303220. PMID: 23286970
Paroxysmal atrioventricular block.
Lee S, Wellens HJ, Josephson ME
Heart Rhythm 2009 Aug;6(8):1229-34. Epub 2009 Apr 5 doi: 10.1016/j.hrthm.2009.04.001. PMID: 19632639
Usefulness of the resting electrocardiogram in the elderly.
Aronow WS
Compr Ther 1992 Nov;18(11):11-6. PMID: 1478052
The tachycardia-bradycardia syndrome.
Kaplan BM
Med Clin North Am 1976 Jan;60(1):81-99. doi: 10.1016/s0025-7125(16)31921-6. PMID: 1107695

Clinical prediction guides

Adenosine and neurohumoral syncope.
Deharo JC, Brignole M, Guieu R
Minerva Med 2022 Apr;113(2):243-250. Epub 2021 Apr 9 doi: 10.23736/S0026-4806.21.07537-6. PMID: 33832218
Novel Therapeutic Options in the Management of Reflex Syncope.
Podoleanu C, Deharo JC
Am J Ther 2019 Mar/Apr;26(2):e268-e275. doi: 10.1097/MJT.0000000000000923. PMID: 30839375
Vagally mediated atrioventricular block: pathophysiology and diagnosis.
Alboni P, Holz A, Brignole M
Heart 2013 Jul;99(13):904-8. Epub 2013 Jan 2 doi: 10.1136/heartjnl-2012-303220. PMID: 23286970
Usefulness of the resting electrocardiogram in the elderly.
Aronow WS
Compr Ther 1992 Nov;18(11):11-6. PMID: 1478052
Verapamil in arrhythmia.
Krikler DM
Br J Clin Pharmacol 1986;21 Suppl 2(Suppl 2):183S-189S. doi: 10.1111/j.1365-2125.1986.tb02869.x. PMID: 3530300Free PMC Article

Recent systematic reviews

Dual-chamber pacemakers for treating symptomatic bradycardia due to sick sinus syndrome without atrioventricular block: a systematic review and economic evaluation.
Edwards SJ, Karner C, Trevor N, Wakefield V, Salih F
Health Technol Assess 2015 Aug;19(65):1-210. doi: 10.3310/hta19650. PMID: 26293406Free PMC Article
Curative catheter ablation in atrial fibrillation and typical atrial flutter: systematic review and economic evaluation.
Rodgers M, McKenna C, Palmer S, Chambers D, Van Hout S, Golder S, Pepper C, Todd D, Woolacott N
Health Technol Assess 2008 Nov;12(34):iii-iv, xi-xiii, 1-198. doi: 10.3310/hta12340. PMID: 19036232

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