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AV Block Second Degree by ECG Finding

MedGen UID:
811441
Concept ID:
C3714697
Finding
Synonyms: AV Block Second Degree; AV Block Second Degree by EKG Finding; Intermittent AV Block; Second Degree Atrioventricular Block; Second Degree AV Block

Definition

An electrocardiographic finding of intermittent failure of atrial electrical impulse conduction to the ventricles. This is manifest on the ECG by regular P waves which intermittently are not followed by QRS complexes. (CDISC) [from NCI]

Professional guidelines

PubMed

Paixão GMM, Lima EM, Quadros AB, Cabral DPR, Coelho RR, Oliveira DM, Nascimento JS, Gomes PR, Ribeiro AL
Arq Bras Cardiol 2022 Oct;119(4):564-571. doi: 10.36660/abc.20210763. PMID: 35857946Free PMC Article
Saleh F, Greene EA, Mathison D
Curr Opin Pediatr 2014 Jun;26(3):279-85. doi: 10.1097/MOP.0000000000000100. PMID: 24759228
Taboulet P, Baud FJ, Bismuth C
J Toxicol Clin Toxicol 1993;31(2):247-60. doi: 10.3109/15563659309000392. PMID: 8492338

Recent clinical studies

Etiology

Liu P, Wang Y, Zhang X, Zhang Z, Zhao N, Ou W, Wang G, Yang X, Li M, Zhang Y, Yang X, Wu S
JAMA Netw Open 2023 Nov 1;6(11):e2342831. doi: 10.1001/jamanetworkopen.2023.42831. PMID: 37955899Free PMC Article
Epstein R, Liberman L, Silver ES
Pediatr Cardiol 2023 Oct;44(7):1529-1535. Epub 2023 Sep 1 doi: 10.1007/s00246-023-03195-w. PMID: 37658175
Kerola T, Eranti A, Aro AL, Haukilahti MA, Holkeri A, Junttila MJ, Kenttä TV, Rissanen H, Vittinghoff E, Knekt P, Heliövaara M, Huikuri HV, Marcus GM
JAMA Netw Open 2019 May 3;2(5):e194176. doi: 10.1001/jamanetworkopen.2019.4176. PMID: 31125096Free PMC Article
Cuneo BF, Bitant S, Strasburger JF, Kaizer AM, Wakai RT
Ultrasound Obstet Gynecol 2019 Nov;54(5):625-633. doi: 10.1002/uog.20245. PMID: 30784137Free PMC Article
Denay KL, Johansen M
Am Fam Physician 2014 Feb 15;89(4):279-82. PMID: 24695448

Diagnosis

Barold SS
Heart Lung Circ 2023 Dec;32(12):1413-1416. Epub 2023 Nov 3 doi: 10.1016/j.hlc.2023.09.018. PMID: 37926640
Clark BA, Prystowsky EN
Cardiol Clin 2023 Aug;41(3):307-313. doi: 10.1016/j.ccl.2023.03.007. PMID: 37321683
Clark BA, Prystowsky EN
Card Electrophysiol Clin 2021 Dec;13(4):599-605. Epub 2021 Sep 25 doi: 10.1016/j.ccep.2021.07.001. PMID: 34689889
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
Barold SS, Herweg B
Herzschrittmacherther Elektrophysiol 2012 Dec;23(4):296-304. Epub 2012 Dec 7 doi: 10.1007/s00399-012-0240-8. PMID: 23224264

Therapy

Bolourchi M, Silver ES, Liberman L
Pediatr Cardiol 2019 Mar;40(3):513-517. Epub 2018 Oct 31 doi: 10.1007/s00246-018-2003-8. PMID: 30377753
Arroyo Plasencia AM, Ballentine LM, Mowry JB, Kao LW
Am J Ther 2012 Jan;19(1):e48-52. doi: 10.1097/MJT.0b013e3181dcf572. PMID: 20535011
Silverman ME, Upshaw CB Jr, Lange HW
Circulation 2004 Aug 31;110(9):1162-7. doi: 10.1161/01.CIR.0000140669.35049.34. PMID: 15339865
Taboulet P, Baud FJ, Bismuth C
J Toxicol Clin Toxicol 1993;31(2):247-60. doi: 10.3109/15563659309000392. PMID: 8492338
Olshaker JS
J Emerg Med 1988 Jan-Feb;6(1):55-9. doi: 10.1016/0736-4679(88)90252-1. PMID: 3283216

Prognosis

Epstein R, Liberman L, Silver ES
Pediatr Cardiol 2023 Oct;44(7):1529-1535. Epub 2023 Sep 1 doi: 10.1007/s00246-023-03195-w. PMID: 37658175
Nelson WP
Card Electrophysiol Clin 2016 Mar;8(1):25-35. doi: 10.1016/j.ccep.2015.10.031. PMID: 26920166
Saleh F, Greene EA, Mathison D
Curr Opin Pediatr 2014 Jun;26(3):279-85. doi: 10.1097/MOP.0000000000000100. PMID: 24759228
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
Zipes DP
Circulation 1979 Sep;60(3):465-72. doi: 10.1161/01.cir.60.3.465. PMID: 378457

Clinical prediction guides

Nakashima T, Nagase M, Shibahara T, Ono D, Yamada T, Tanabe G, Suzuki K, Yamaura M, Ido T, Takahashi S, Okura H, Aoyama T
J Electrocardiol 2022 Mar-Apr;71:67-73. Epub 2022 Feb 12 doi: 10.1016/j.jelectrocard.2022.02.002. PMID: 35183045
van Stigt AH, Overduin RJ, Staats LC, Loen V, van der Heyden MA
Chin J Physiol 2016 Feb 29;59(1):1-8. doi: 10.4077/CJP.2016.BAE364. PMID: 26875557
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
Wakida Y, Okamoto Y, Iwa T, Yonemoto T, Kanemaki K, Shiomi T, Mizutani K, Kobayashi T
Pacing Clin Electrophysiol 1994 Nov;17(11 Pt 2):2217-21. doi: 10.1111/j.1540-8159.1994.tb03829.x. PMID: 7845846
Zehender M, Meinertz T, Keul J, Just H
Am Heart J 1990 Jun;119(6):1378-91. doi: 10.1016/s0002-8703(05)80189-9. PMID: 2191578

Recent systematic reviews

Hua J, Xiong Q, Xia Z, Huang Q, Huang L, Xia Z, Hu J, Li J, Hu J, Chen Q, Hong K
Int Heart J 2022 Sep 30;63(5):957-962. Epub 2022 Sep 14 doi: 10.1536/ihj.22-103. PMID: 36104231
Ullah W, Zahid S, Zaidi SR, Sarvepalli D, Haq S, Roomi S, Mukhtar M, Khan MA, Gowda SN, Ruggiero N, Vishnevsky A, Fischman DL
J Am Heart Assoc 2021 Jul 20;10(14):e020906. Epub 2021 Jul 14 doi: 10.1161/JAHA.121.020906. PMID: 34259045Free PMC Article

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