International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 1 | Research Article | Open Access DOI
Anas Hadari*
Anas Hadari1.2*, Jaouad Nguadi3.4 , Hicham Bouzelmat3.4 , Abdelmajid Bouzerda1.2
1Cardiology, Avicenna Military Hospital, Marrakech, Maroc
2Cardiology, Faculty of Medicine Cadi Ayyad University, Marrakech, Maroc
3Cardiology, Faculty of Medicine, Mohamed V University, Rabat, Maroc
4Cardiology, Mohamed V Military Training Hospital, Rabat, Maroc
*Correspondence to: Anas Hadari
Fulltext PDFHigh-degree atrioventricular (AV) block represents a serious cardiac conduction disorder characterized by the complete interruption of electrical signals between the atria and ventricles. This condition, which can manifest at various levels of the conduction system, poses a significant risk of mortality due to complications such as heart failure and sudden cardiac death if left untreated. This article presents a case study of a 46-year-old asymptomatic female patient with a high-degree AV block, who exhibited no significant clinical or etiological findings after extensive evaluation.
The management of asymptomatic AV block remains a complex decision-making process, balancing the potential benefits of medical versus interventional treatment, including the implantation of a permanent pacemaker. Current guidelines recommend a thorough etiological assessment to identify any reversible causes of AV block before proceeding with permanent pacing, particularly in asymptomatic patients.
Additionally, for AV blocks of unknown etiology, the decision to implant a pacemaker should be carefully considered, taking into account all associated risks and potential long-term outcomes.
This review discusses the clinical considerations, diagnostic evaluations, and management strategies for high-degree AV block, with a focus on asymptomatic cases, and highlights the need for individualized patient care based on the underlying etiology and clinical presentation.
Uncertain causes; Non-reversible; Pacemaker; Asymptomatic; Young adult,; Atrioventricular block
Anas Hadari, Jaouad Nguadi3, Hicham Bouzelmat, Abdelmajid Bouzerda. Evaluating and Managing Asymptomatic AV Block in young : When to Intervene?. Int Clinc Med Case Rep Jour. 2025;4(1):1-9.