Paroxysmal AV block history and symptoms: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 11: Line 11:


==History and Symptoms==
==History and Symptoms==
*The majority of patients with [disease name] are asymptomatic.
*History of syncope, presyncope, duration of each episode, number of episodes, activities during the syncopal episode, aggravating or relieving factors, history of past medical illnesses, prodrome/ recovery phase description in terms of signs, symptoms and duration are '''important points to be addressed whilst taking a history of a syncope patient'''.  
OR
*A study of 341 syncope patients showed that the time between the first and last syncopal episode being less than 4 years, syncope during effort or supine position, a history of palpitations, convulsions or blurring of vision were '''important predictors of a cardiac syncope'''.  
*The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
*Similarly, duration of prodrome > 10 seconds history of pallor, nausea, diaphoresis, dizziness, presyncope, abdominal discomfort and time between first and last syncopal episode being more than 4 years were '''important predictors of a neutrally mediated syncope'''.<ref name="pmid11401133">{{cite journal |vauthors=Alboni P, Brignole M, Menozzi C, Raviele A, Del Rosso A, Dinelli M, Solano A, Bottoni N |title=Diagnostic value of history in patients with syncope with or without heart disease |journal=J. Am. Coll. Cardiol. |volume=37 |issue=7 |pages=1921–8 |date=June 2001 |pmid=11401133 |doi=10.1016/s0735-1097(01)01241-4 |url=}}</ref>
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. 
*Based on a detailed history, one can decide whether a cardiac syncope was secondary to a rhythm dysfunction, structural cause or ischemia related and would warrant a work up of an '''ECG, Holter monitoring, echocardiography, electrophysiologic study, or an exercise stress test'''. <ref name="pmid11401133">{{cite journal |vauthors=Alboni P, Brignole M, Menozzi C, Raviele A, Del Rosso A, Dinelli M, Solano A, Bottoni N |title=Diagnostic value of history in patients with syncope with or without heart disease |journal=J. Am. Coll. Cardiol. |volume=37 |issue=7 |pages=1921–8 |date=June 2001 |pmid=11401133 |doi=10.1016/s0735-1097(01)01241-4 |url=}}</ref>
===History===
*Similarly, neutrally mediated syncope maybe vasovagal, situational, secondary to increased carotid sinus sensitivity or non classical and orthostatic hypotension may be due to a primary or secondary autonomic failure, secondary to drugs or hypovolemia. This may be further explored by '''a carotid sinus massage, tilt table testing, adenosine plasma levels or an adenosine triphosphate stimulation test'''.{{cite web |url=https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Syncope-Guidelines-on-Diagnosis-and-Management-of |title=ESC Guidelines on Syncope (Diagnosis and Management of) |format= |work= |accessdate=}}
Patients with [disease name]] may have a positive history of:
*[History finding 1]
*[History finding 2]
*[History finding 3]
 
===Common Symptoms===
Common symptoms of [disease] include:
*[Symptom 1]
*[Symptom 2]
*[Symptom 3]
 
===Less Common Symptoms===
Less common symptoms of [disease name] include
*[Symptom 1]
*[Symptom 2]
*[Symptom 3]


==References==
==References==

Revision as of 05:50, 15 June 2020

Paroxysmal AV block Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Paroxysmal AV block from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Paroxysmal AV block history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Paroxysmal AV block history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Paroxysmal AV block history and symptoms

CDC on Paroxysmal AV block history and symptoms

Paroxysmal AV block history and symptoms in the news

Blogs on Paroxysmal AV block history and symptoms

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Paroxysmal AV block history and symptoms

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

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

  • History of syncope, presyncope, duration of each episode, number of episodes, activities during the syncopal episode, aggravating or relieving factors, history of past medical illnesses, prodrome/ recovery phase description in terms of signs, symptoms and duration are important points to be addressed whilst taking a history of a syncope patient.
  • A study of 341 syncope patients showed that the time between the first and last syncopal episode being less than 4 years, syncope during effort or supine position, a history of palpitations, convulsions or blurring of vision were important predictors of a cardiac syncope.
  • Similarly, duration of prodrome > 10 seconds history of pallor, nausea, diaphoresis, dizziness, presyncope, abdominal discomfort and time between first and last syncopal episode being more than 4 years were important predictors of a neutrally mediated syncope.[1]
  • Based on a detailed history, one can decide whether a cardiac syncope was secondary to a rhythm dysfunction, structural cause or ischemia related and would warrant a work up of an ECG, Holter monitoring, echocardiography, electrophysiologic study, or an exercise stress test. [1]
  • Similarly, neutrally mediated syncope maybe vasovagal, situational, secondary to increased carotid sinus sensitivity or non classical and orthostatic hypotension may be due to a primary or secondary autonomic failure, secondary to drugs or hypovolemia. This may be further explored by a carotid sinus massage, tilt table testing, adenosine plasma levels or an adenosine triphosphate stimulation test."ESC Guidelines on Syncope (Diagnosis and Management of)".

References

  1. 1.0 1.1 Alboni P, Brignole M, Menozzi C, Raviele A, Del Rosso A, Dinelli M, Solano A, Bottoni N (June 2001). "Diagnostic value of history in patients with syncope with or without heart disease". J. Am. Coll. Cardiol. 37 (7): 1921–8. doi:10.1016/s0735-1097(01)01241-4. PMID 11401133.


Template:WH Template:WS