Paroxysmal AV block overview: Difference between revisions
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*Paroxysmal AV block is defined as a delayed escape rhythm which repetitively blocks conduction from the atria to the ventricles, thereby causing [[syncope]], conduction defects such as [[asystole]] and [[sudden cardiac death]]. | *Paroxysmal AV block is defined as a delayed escape rhythm which repetitively blocks conduction from the atria to the ventricles, thereby causing [[syncope]], conduction defects such as [[asystole]] and [[sudden cardiac death]]. | ||
*It may or may not be associated with Phase 3 or Phase 4 conduction defects. | *It may or may not be associated with Phase 3 or Phase 4 conduction defects. | ||
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*Insufficient data is available regarding the exact [[etiology]], diagnostic study of choice and treatment of paroxysmal AV blocks. | *Insufficient data is available regarding the exact [[etiology]], diagnostic study of choice and treatment of paroxysmal AV blocks. | ||
*It can be thought of more as a disease of exclusion. However,efforts must be made to have a standardized approach to such patients. | *It can be thought of more as a disease of exclusion. However,efforts must be made to have a standardized approach to such patients. | ||
Revision as of 18:14, 25 June 2020
- Paroxysmal AV block is defined as a delayed escape rhythm which repetitively blocks conduction from the atria to the ventricles, thereby causing syncope, conduction defects such as asystole and sudden cardiac death.
- It may or may not be associated with Phase 3 or Phase 4 conduction defects.
- It may be due to an increased vagal tone, innately low adenosine levels or an intrinsic conduction defect, all of which lead to different ECG presentations.
- Insufficient data is available regarding the exact etiology, diagnostic study of choice and treatment of paroxysmal AV blocks.
- It can be thought of more as a disease of exclusion. However,efforts must be made to have a standardized approach to such patients.