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AV Block Third Degree by ECG Finding

MedGen UID:
776576
•Concept ID:
C2215935
•
Finding
Synonyms: AV Block Third Degree; AV Block Third Degree by EKG Finding; Complete AV Block; Complete Heart Block; Third Degree Atrioventricular Block; Third Degree AV Block

Definition

An electrocardiographic finding of complete failure of atrial electrical impulse conduction to the ventricles. This is manifested on the ECG by disassociation of atrial and ventricular rhythms. The atrial rate must be faster than the ventricular rate. (CDISC) [from NCI]

Term Hierarchy

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

Professional guidelines

PubMed

Acupuncture Treatment of a Patient with Bradycardia and Idioventricular Rhythm.
Strakhova O, Ryzhov A
J Acupunct Meridian Stud 2022 Dec 31;15(6):356-360. doi: 10.51507/j.jams.2022.15.6.356. PMID: 36537118
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

Recent clinical studies

Etiology

Risk of Cardiac Arrhythmias Among Climbers on Mount Everest.
Sherpa K, Sherpa PP, Sherpa T, Rothenbühler M, Ryffel C, Sherpa D, Sherpa DR, Sherchand O, Galuszka O, Dernektsi C, Reichlin T, Pilgrim T
JAMA Cardiol 2024 May 1;9(5):480-485. doi: 10.1001/jamacardio.2024.0364. PMID: 38568602Free PMC Article
Beta-Blocker-Related Atrioventricular Conduction Disorders-A Single Tertiary Referral Center Experience.
Marcu DTM, Adam CA, Dorobanțu DM, Șalaru DL, Sascău RA, Balasanian MO, Macovei L, Arsenescu-Georgescu C, Stătescu C
Medicina (Kaunas) 2022 Feb 20;58(2) doi: 10.3390/medicina58020320. PMID: 35208643Free PMC Article
Risk Factors Associated With Atrioventricular Block.
Kerola T, Eranti A, Aro AL, Haukilahti MA, Holkeri A, Junttila MJ, Kenttä TV, Rissanen H, Vittinghoff E, Knekt P, Heliövaara M, Huikuri HV, Marcus GM
JAMA Netw Open 2019 May 3;2(5):e194176. doi: 10.1001/jamanetworkopen.2019.4176. PMID: 31125096Free PMC Article
Conduction abnormalities during dipyridamole stress testing.
Massalha S, Reizberg I, Israel O, Kapeliovich M, Sholy H, Koskosi A, Keidar Z, Marai I
J Nucl Cardiol 2017 Apr;24(2):405-409. Epub 2015 Oct 22 doi: 10.1007/s12350-015-0294-1. PMID: 26494645
Common questions about pacemakers.
Denay KL, Johansen M
Am Fam Physician 2014 Feb 15;89(4):279-82. PMID: 24695448

Diagnosis

What are those intermittent "S" waves?
Littmann L
J Electrocardiol 2024 May-Jun;84:100-102. Epub 2024 Mar 28 doi: 10.1016/j.jelectrocard.2024.03.010. PMID: 38581752
Electrocardiography of Atrioventricular Block.
Clark BA, Prystowsky EN
Cardiol Clin 2023 Aug;41(3):307-313. doi: 10.1016/j.ccl.2023.03.007. PMID: 37321683
Electrocardiography of Atrioventricular Block.
Clark BA, Prystowsky EN
Card Electrophysiol Clin 2021 Dec;13(4):599-605. Epub 2021 Sep 25 doi: 10.1016/j.ccep.2021.07.001. PMID: 34689889
Common questions about pacemakers.
Denay KL, Johansen M
Am Fam Physician 2014 Feb 15;89(4):279-82. PMID: 24695448
Atrioventricular dissociation.
Harrigan RA, Perron AD, Brady WJ
Am J Emerg Med 2001 May;19(3):218-22. doi: 10.1053/ajem.2001.22657. PMID: 11326350

Therapy

Third-Degree Atrioventricular Block With High-Dose Lamotrigine Use.
İzci F, İzci S
Prim Care Companion CNS Disord 2023 May 11;25(3) doi: 10.4088/PCC.22cr03363. PMID: 37192262
Electrocautery-Induced Complete Heart Block.
Alghanem H, Patoli D, Greenberg SB, Szokol JW, Silk VL
J Cardiothorac Vasc Anesth 2021 Jul;35(7):2230-2232. Epub 2020 Nov 10 doi: 10.1053/j.jvca.2020.11.018. PMID: 33268040
Arrhythmias in Patients on Maintenance Dialysis: A Cross-sectional Study.
Rantanen JM, Riahi S, Schmidt EB, Johansen MB, Søgaard P, Christensen JH
Am J Kidney Dis 2020 Feb;75(2):214-224. Epub 2019 Sep 18 doi: 10.1053/j.ajkd.2019.06.012. PMID: 31542235
Advanced Heart Block in Children with Lyme Disease.
Bolourchi M, Silver ES, Liberman L
Pediatr Cardiol 2019 Mar;40(3):513-517. Epub 2018 Oct 31 doi: 10.1007/s00246-018-2003-8. PMID: 30377753
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

Prognosis

Risk of Cardiac Arrhythmias Among Climbers on Mount Everest.
Sherpa K, Sherpa PP, Sherpa T, Rothenbühler M, Ryffel C, Sherpa D, Sherpa DR, Sherchand O, Galuszka O, Dernektsi C, Reichlin T, Pilgrim T
JAMA Cardiol 2024 May 1;9(5):480-485. doi: 10.1001/jamacardio.2024.0364. PMID: 38568602Free PMC Article
Conduction abnormalities during dipyridamole stress testing.
Massalha S, Reizberg I, Israel O, Kapeliovich M, Sholy H, Koskosi A, Keidar Z, Marai I
J Nucl Cardiol 2017 Apr;24(2):405-409. Epub 2015 Oct 22 doi: 10.1007/s12350-015-0294-1. PMID: 26494645
Diagnostic and Prognostic Implications of Surface Recordings from Patients with Atrioventricular Block.
Nelson WP
Card Electrophysiol Clin 2016 Mar;8(1):25-35. doi: 10.1016/j.ccep.2015.10.031. PMID: 26920166
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
ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance.
Zehender M, Meinertz T, Keul J, Just H
Am Heart J 1990 Jun;119(6):1378-91. doi: 10.1016/s0002-8703(05)80189-9. PMID: 2191578

Clinical prediction guides

Prediction of atrioventricular conduction disturbance after ablation of persistent atrial fibrillation.
Chikata A, Kato T, Usuda K, Fujita S, Maruyama M, Otowa K, Tsuda T, Hayashi K, Takamura M
J Electrocardiol 2023 Jul-Aug;79:30-34. Epub 2023 Mar 11 doi: 10.1016/j.jelectrocard.2023.03.005. PMID: 36924589
Atrioventricular Block in Children With Multisystem Inflammatory Syndrome.
Dionne A, Mah DY, Son MBF, Lee PY, Henderson L, Baker AL, de Ferranti SD, Fulton DR, Newburger JW, Friedman KG
Pediatrics 2020 Nov;146(5) Epub 2020 Aug 27 doi: 10.1542/peds.2020-009704. PMID: 32855347
A Heart too Drunk to Drive; AV Block following Acute Alcohol Intoxication.
van Stigt AH, Overduin RJ, Staats LC, Loen V, van der Heyden MA
Chin J Physiol 2016 Feb 29;59(1):1-8. doi: 10.4077/CJP.2016.BAE364. PMID: 26875557
Arrhythmias in centenarians.
Wakida Y, Okamoto Y, Iwa T, Yonemoto T, Kanemaki K, Shiomi T, Mizutani K, Kobayashi T
Pacing Clin Electrophysiol 1994 Nov;17(11 Pt 2):2217-21. doi: 10.1111/j.1540-8159.1994.tb03829.x. PMID: 7845846
ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance.
Zehender M, Meinertz T, Keul J, Just H
Am Heart J 1990 Jun;119(6):1378-91. doi: 10.1016/s0002-8703(05)80189-9. PMID: 2191578

Recent systematic reviews

The association of cannabis use and cardiac dysrhythmias: a systematic review.
Richards JR, Blohm E, Toles KA, Jarman AF, Ely DF, Elder JW
Clin Toxicol (Phila) 2020 Sep;58(9):861-869. Epub 2020 Apr 8 doi: 10.1080/15563650.2020.1743847. PMID: 32267189

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