Paroxysmal AV block physical examination

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

There are no specific physical examination findings seen in patients with paroxysmal AV block.

There are no specific physical examination findings seen in patients with paroxysmal AV block.

• Patients with paroxysmal AV block may appear to be altered as paroxysmal AV block commonly presents with syncope/presyncope.

• Tachycardia with regular pulse or irregular pulse
• Bradycardia with regular pulse or irregular pulse.

• Skin examination of patients with paroxysmal AV Block is usually normal.

• HEENT examination of patients with paroxysmal AV Block is usually normal

• Neck examination of patients with paroxysmal AV Block is usually normal.

• Jugular venous distension (rule out)
• Carotid bruits may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope (rule out).

• Pulmonary examination of patients with paroxysmal AV block is usually normal.

• Heave / thrill (rule out)
• Friction rub (rule out)
• S1 (rule out)
• S2 (rule out)
• S3 (rule out)
• S4 (rule out)
• Gallops (rule out)
• A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the stethoscope (rule out).

• Abdominal examination of patients with paroxysmal AV block is usually normal.

• Back examination of patients with paroxysmal AV block is usually normal.

• Genitourinary examination of patients with paroxysmal AV block is usually normal.

• Patient is usually oriented to persons, place, and time.
• Altered mental status (rule out)

• Extremities examination of patients with paroxysmal AV block is usually normal.

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