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AV Block First Degree by ECG Finding

MedGen UID:
811633
•Concept ID:
C3715208
•
Finding
Synonyms: AV Block First Degree; AV Block First Degree by EKG Finding; First Degree Atrioventricular Block; First Degree AV Block; Prolonged AV Conduction; Prolonged PR Interval

Definition

An electrocardiographic finding of prolonged PR interval for a specific population. For adults one common threshold is a PR interval greater than 0.20 seconds. Note that other thresholds may be applicable. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAV Block First Degree by ECG Finding

Professional guidelines

PubMed

Association between Atrioventricular Block and Mortality in Primary Care Patients: The CODE Study.
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
Evaluation and management of atrioventricular block in children.
Saleh F, Greene EA, Mathison D
Curr Opin Pediatr 2014 Jun;26(3):279-85. doi: 10.1097/MOP.0000000000000100. PMID: 24759228
Clinical features and management of digitalis poisoning--rationale for immunotherapy.
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

First-degree atrioventricular block in acute anterior myocardial infarction.
Zabeh A, Jahanafrouz M, Kazemi B, Pourafkari L, Davarmoin G, Separham A
Asian Cardiovasc Thorac Ann 2021 May;29(4):254-259. Epub 2020 Oct 28 doi: 10.1177/0218492320971489. PMID: 33115257
Electrocardiographic interpretation in athletes.
Abela M, Sharma S
Minerva Cardiol Angiol 2021 Oct;69(5):533-556. Epub 2020 Oct 15 doi: 10.23736/S2724-5683.20.05331-1. PMID: 33059398
Common questions about pacemakers.
Denay KL, Johansen M
Am Fam Physician 2014 Feb 15;89(4):279-82. PMID: 24695448
Thyrotoxic periodic paralysis.
Lin SH
Mayo Clin Proc 2005 Jan;80(1):99-105. doi: 10.1016/S0025-6196(11)62965-0. PMID: 15667036
First degree atrioventricular block.
Bexton RS, Camm AJ
Eur Heart J 1984 Mar;5 Suppl A:107-9. doi: 10.1093/eurheartj/5.suppl_a.107. PMID: 6373267

Diagnosis

Electrocardiographic interpretation in athletes.
Abela M, Sharma S
Minerva Cardiol Angiol 2021 Oct;69(5):533-556. Epub 2020 Oct 15 doi: 10.23736/S2724-5683.20.05331-1. PMID: 33059398
Common questions about pacemakers.
Denay KL, Johansen M
Am Fam Physician 2014 Feb 15;89(4):279-82. PMID: 24695448
Second-degree atrioventricular block revisited.
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
Thyrotoxic periodic paralysis.
Lin SH
Mayo Clin Proc 2005 Jan;80(1):99-105. doi: 10.1016/S0025-6196(11)62965-0. PMID: 15667036
First degree atrioventricular block.
Bexton RS, Camm AJ
Eur Heart J 1984 Mar;5 Suppl A:107-9. doi: 10.1093/eurheartj/5.suppl_a.107. PMID: 6373267

Therapy

Mitral Annulus Calcium Score.
Brodov Y, Konen E, Di Segni M, Samoocha D, Chernomordik F, Barbash I, Regev E, Raanani E, Guetta V, Segev A, Fefer P, Glikson M, Goitein O
Circ Cardiovasc Imaging 2019 Dec;12(1):e007508. doi: 10.1161/CIRCIMAGING.117.007508. PMID: 30636515
Lyme Carditis and High-Degree Atrioventricular Block.
Wan D, Blakely C, Branscombe P, Suarez-Fuster L, Glover B, Baranchuk A
Am J Cardiol 2018 May 1;121(9):1102-1104. Epub 2018 Feb 7 doi: 10.1016/j.amjcard.2018.01.026. PMID: 29598856
Adverse effects of first-degree AV-block in patients with sinus node dysfunction: data from the mode selection trial.
Holmqvist F, Hellkamp AS, Lee KL, Lamas GA, Daubert JP; MOST investigators
Pacing Clin Electrophysiol 2014 Sep;37(9):1111-9. Epub 2014 May 4 doi: 10.1111/pace.12404. PMID: 24797760
Benzodiazepine-associated atrioventricular block.
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
Prevention of complete heart block in children of mothers with anti-SSA/Ro and anti-SSB/La autoantibodies: detection and treatment of first-degree atrioventricular block.
Mevorach D, Elchalal U, Rein AJ
Curr Opin Rheumatol 2009 Sep;21(5):478-82. doi: 10.1097/BOR.0b013e32832ed817. PMID: 19584727

Prognosis

Prognostic significance of first-degree atrioventricular block in a large Asian population: a prospective cohort study.
Liu M, Du Z, Sun Y
BMJ Open 2022 Apr 4;12(4):e062005. doi: 10.1136/bmjopen-2022-062005. PMID: 35379649Free PMC Article
First-degree atrioventricular block in acute anterior myocardial infarction.
Zabeh A, Jahanafrouz M, Kazemi B, Pourafkari L, Davarmoin G, Separham A
Asian Cardiovasc Thorac Ann 2021 May;29(4):254-259. Epub 2020 Oct 28 doi: 10.1177/0218492320971489. PMID: 33115257
Beyond first-degree heart block in the diagnosis of acute rheumatic fever.
Agnew J, Wilson N, Skinner J, Nicholson R
Cardiol Young 2019 Jun;29(6):744-748. Epub 2019 Jun 14 doi: 10.1017/S104795111900026X. PMID: 31198127
Assessment of atrioventricular conduction by echocardiography and magnetocardiography in normal and anti-Ro/SSA-antibody-positive pregnancies.
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
First degree atrioventricular block.
Bexton RS, Camm AJ
Eur Heart J 1984 Mar;5 Suppl A:107-9. doi: 10.1093/eurheartj/5.suppl_a.107. PMID: 6373267

Clinical prediction guides

Prognostic significance of first-degree atrioventricular block in a large Asian population: a prospective cohort study.
Liu M, Du Z, Sun Y
BMJ Open 2022 Apr 4;12(4):e062005. doi: 10.1136/bmjopen-2022-062005. PMID: 35379649Free PMC Article
First-degree atrioventricular block in acute anterior myocardial infarction.
Zabeh A, Jahanafrouz M, Kazemi B, Pourafkari L, Davarmoin G, Separham A
Asian Cardiovasc Thorac Ann 2021 May;29(4):254-259. Epub 2020 Oct 28 doi: 10.1177/0218492320971489. PMID: 33115257
Electrocardiographic interpretation in athletes.
Abela M, Sharma S
Minerva Cardiol Angiol 2021 Oct;69(5):533-556. Epub 2020 Oct 15 doi: 10.23736/S2724-5683.20.05331-1. PMID: 33059398
MIS-C and Cardiac Conduction Abnormalities.
Choi NH, Fremed M, Starc T, Weller R, Cheung E, Ferris A, Silver ES, Liberman L
Pediatrics 2020 Dec;146(6) Epub 2020 Nov 12 doi: 10.1542/peds.2020-009738. PMID: 33184170
Assessment of atrioventricular conduction by echocardiography and magnetocardiography in normal and anti-Ro/SSA-antibody-positive pregnancies.
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

Recent systematic reviews

Standard ECG in Brugada Syndrome as a Marker of Prognosis: From Risk Stratification to Pathophysiological Insights.
Vitali F, Brieda A, Balla C, Pavasini R, Tonet E, Serenelli M, Ferrari R, Delise P, Rapezzi C, Bertini M
J Am Heart Assoc 2021 May 18;10(10):e020767. Epub 2021 May 12 doi: 10.1161/JAHA.121.020767. PMID: 33977759Free PMC Article
Electrocardiographic abnormalities in Chagas disease in the general population: A systematic review and meta-analysis.
Rojas LZ, Glisic M, Pletsch-Borba L, Echeverría LE, Bramer WM, Bano A, Stringa N, Zaciragic A, Kraja B, Asllanaj E, Chowdhury R, Morillo CA, Rueda-Ochoa OL, Franco OH, Muka T
PLoS Negl Trop Dis 2018 Jun;12(6):e0006567. Epub 2018 Jun 13 doi: 10.1371/journal.pntd.0006567. PMID: 29897909Free PMC Article

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