Atrioventricular Block: Medical History

Medical history (history of illness) represents an important component in the diagnosis of atrioventricular block.

Family History

• Do you have relatives who suffer from cardiac arrhythmias?

Social history

Current medical history/systemic history (somatic and psychological complaints).

• When did the complaints first occur?
• When did the complaints last occur?
• How often do the complaints occur (daily, weekly, monthly)?
• What symptoms do you notice?
  • Dizziness?
  • Unconsciousness or threat of unconsciousness?*

Vegetative anamnesis incl. nutritional anamnesis.

• Do you suffer from sleep disorders?
• Has your appetite changed?
• Have you noticed any unwanted change in weight?
• Do you drink a lot of coffee?
• Do you smoke? If so, how many cigarettes, cigars or pipes per day?
• Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
• Do you use drugs? If yes, what drugs and how often per day or per week?
• Do you do a lot of sports?

Self history incl. medication history.

• Pre-existing conditions (cardiovascular disease, rheumatic fever, cancer).
• Operations
• Allergies

Medication history

• Antiarrhythmic drugs
  • Ia antiarrhythmics (ajmaline, quinidine, disopyramide, prajmaline).
  • Ic antiarrhythmics (flecainide, propafenone).
  • Class II antiarrhythmics (beta-blockers: atenolol, bisoprolol, metoprolol, propranolol).
  • Class IV antiarrhythmic drugs (diltiazem, verapamil).
  • Other antiarrhythmic drugs (adenosine, digitalis).
• Calcium channel blockers
  • Dihydropyridines (diltiazem)
  • Benzothiazepines (verapamil)

* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)