First degree AV block screening

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

Overview

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

Screening

  • There is insufficient evidence to recommend routine screening for first 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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