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Second degree AV block other imaging findings

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

Overview

Transesophageal echocardiography, computed tomography, cardiac magnetic resonance imaging (MRI), or nuclear imaging are other advanced imagings that can be used in suspicion of structural heart disease in patients presented with bradycardia or bundle branch block.

Other imaging findings

Recommendations for imaging study in Bradycardia or Conduction disorder
Advanced imaging : (Class IIa, Level of Evidence C)

❑ In suspicion of structural heart disease in patients presented with bradycardia or bundle branch block, transesophageal echocardiography, computed tomography, cardiac magnetic resonance imaging (MRI),or nuclear imaging is recommended

Cardiac imaging : (Class III, Level of Evidence B)

❑ Routine cardiac imaging is not recommended in patients with asymptomatic sinus bradycardia or first-degree atrioventricular block and no clinical evidence of structural heart disease

Abbreviations: LBBB: Left bundle branch block

The above table adopted from 2018 AHA/ACC/HRS Guideline[1]

References

  1. Kusumoto, Fred M.; Schoenfeld, Mark H.; Barrett, Coletta; Edgerton, James R.; Ellenbogen, Kenneth A.; Gold, Michael R.; Goldschlager, Nora F.; Hamilton, Robert M.; Joglar, José A.; Kim, Robert J.; Lee, Richard; Marine, Joseph E.; McLeod, Christopher J.; Oken, Keith R.; Patton, Kristen K.; Pellegrini, Cara N.; Selzman, Kimberly A.; Thompson, Annemarie; Varosy, Paul D. (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). doi:10.1161/CIR.0000000000000628. ISSN 0009-7322.


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