Sinoatrial Block

Sinuatrial Block: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate sinuatrial block (SA block): 1st-degree SA block No symptoms SA block 2nd degree Mobitz type I (Wenckebach block) Heart rate usually rhythmic with sudden pause, thus often bradycardia (heartbeat too slow: < 60 beats per minute) Mobitz type II (Mobitz block). Heart rate is arhythmic (occasional failure of … Sinuatrial Block: Symptoms, Complaints, Signs

Sinuatrial Block: Causes

Pathogenesis (development of disease) Sinuatrial block is a block in the conduction of excitation in the atrium due to a disturbance between the sinoatrial node and the atrium. Three degrees of severity of sinuatrial block can be distinguished: 1st-degree SA block – conduction delay of excitation from the sinoatrial node to the atrial muscles; not … Sinuatrial Block: Causes

Sinuatrial Block: Therapy

General measures Review of permanent medication due topossible effect on existing disease. Vaccinations The following vaccinations are advised: Flu vaccination Pneumococcal vaccination Regular checkups Regular medical checkups Psychotherapy If necessary, psychotherapy for anxiety disorders resulting from the disease. Detailed information on psychosomatics (including stress management) can be obtained from us.

Sinuatrial Block: Diagnostic Tests

Obligatory medical device diagnostics. Electrocardiogram (ECG; recording of the electrical activity of the heart muscle). Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Exercise ECG (electrocardiogram during exercise, that is, under physical activity/exercise ergometry) – detection of … Sinuatrial Block: Diagnostic Tests

Sinuatrial Block: Medical History

Medical history (history of illness) represents an important component in the diagnosis of sinuatrial 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, … Sinuatrial Block: Medical History

Sinuatrial Block: Complications

The following are the major diseases or complications that may be contributed to by sinuatrial block:Cardiovascular system (I00-I99). Sudden cardiac death (PHT). Jumping to a different heart rhythm Psyche – nervous system (F00-F99; G00-G99) Anxiety

Sinuatrial Block: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: Assessment of consciousness using the Glasgow Coma Scale (GCS). General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes [pallor]. Neck vein congestion? Central cyanosis? (bluish discoloration of skin and central mucous membranes, e.g., tongue). … Sinuatrial Block: Examination

Sinuatrial Block: Test and Diagnosis

2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Electrolytes – potassium, magnesium Thyroid parameters – TSH Highly sensitive cardiac troponin T (hs-cTnT) or troponin I (hs-cTnI) – to … Sinuatrial Block: Test and Diagnosis

Sinuatrial Block: Drug Therapy

Therapeutic target Avoidance of complications (e.g., switching to a different heart rhythm). Therapy recommendations Emergency: atropine (parasympatholytic) for severe bradycardia (heart rate too slow: < 40-50 beats per minute). Sinuatrial block is rarely an indication for drug therapy; symptomatic forms of sinuatrial block should be treated by pacing. Note on the three degrees of severity … Sinuatrial Block: Drug Therapy