Reflex Atrioventricular Block

Reflex atrioventricular block is well-recorded although it is considered rare. Recent data suggests that it is less rare than has been supposed. It has been shown to occur in both vasovagal and carotid sinus reflexes. It has to be distinguished from paroxysmal atrioventricular block due to ventricul...

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Main Author: Richard Sutton
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fcvm.2020.00048/full
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author Richard Sutton
author_facet Richard Sutton
author_sort Richard Sutton
collection DOAJ
description Reflex atrioventricular block is well-recorded although it is considered rare. Recent data suggests that it is less rare than has been supposed. It has been shown to occur in both vasovagal and carotid sinus reflexes. It has to be distinguished from paroxysmal atrioventricular block due to ventricular conduction tissue disease. Low chronic adenosine levels combined with adenosine release may mimic reflex atrioventricular block. Explanations of the mechanism of these phenomena have been lacking until the recent past. The relevance of reflex atrioventricular block to clinical decision-making is as a possible indication for pacing the heart with consideration given to the vasodepressor component of the reflex.
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spelling doaj.art-28796b6a503d41139d2ada72d48a5fef2022-12-22T03:54:33ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2020-04-01710.3389/fcvm.2020.00048526411Reflex Atrioventricular BlockRichard SuttonReflex atrioventricular block is well-recorded although it is considered rare. Recent data suggests that it is less rare than has been supposed. It has been shown to occur in both vasovagal and carotid sinus reflexes. It has to be distinguished from paroxysmal atrioventricular block due to ventricular conduction tissue disease. Low chronic adenosine levels combined with adenosine release may mimic reflex atrioventricular block. Explanations of the mechanism of these phenomena have been lacking until the recent past. The relevance of reflex atrioventricular block to clinical decision-making is as a possible indication for pacing the heart with consideration given to the vasodepressor component of the reflex.https://www.frontiersin.org/article/10.3389/fcvm.2020.00048/fullatrioventricular blockvasovagal reflexcarotid sinus reflexcardiac pacingcardiac conduction system diseaseadenosine
spellingShingle Richard Sutton
Reflex Atrioventricular Block
Frontiers in Cardiovascular Medicine
atrioventricular block
vasovagal reflex
carotid sinus reflex
cardiac pacing
cardiac conduction system disease
adenosine
title Reflex Atrioventricular Block
title_full Reflex Atrioventricular Block
title_fullStr Reflex Atrioventricular Block
title_full_unstemmed Reflex Atrioventricular Block
title_short Reflex Atrioventricular Block
title_sort reflex atrioventricular block
topic atrioventricular block
vasovagal reflex
carotid sinus reflex
cardiac pacing
cardiac conduction system disease
adenosine
url https://www.frontiersin.org/article/10.3389/fcvm.2020.00048/full
work_keys_str_mv AT richardsutton reflexatrioventricularblock