Second degree AV block physical examination

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

Overview

Physical examination

Appearance of the patient

  • Patients with second degree AV block type I (Mobitz I) are usually asymptomatic.[1]
  • Only patients with previous cardiac condition as myocardial ischemia may appear in distress.
  • Patients with Mobitz II can appear asymptomatic as well. However, in more cases they may be in distress or progress to the more severe third degree AV block.

Vitals

  • Bradycardia with irregular pulse
  • Lightheadedness
  • Hypotension
  • Syncope or presyncope

Heart


References

  1. Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR; et al. (2019). "2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 140 (8): e382–e482. doi:10.1161/CIR.0000000000000628. PMID 30586772.


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