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Should Beta Blockers Be Used With Caution In Patients With AV Block 1st Degree?

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Posted on Tue, 6 Feb 2024
Question: Hi, can I answer your health question? Please type your question here...I was told I had 1st° degree AV block and now they say I have something warm my heart races I can’t remember the name of it but they want to give me a low-dose of atenolol which is a beta blocker because they said it I will be in danger of going into or out of rhythm somehow I read your not supposed to take beta blockers with the AV block they say if they monitor this it’ll be OK because this second thing It’s more dangerous is this my only course
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:

Hello,

Welcome and thank you for asking us.

I passed carefully through your question and would explain that it is true that beta blockers should be used with caution in patients with AV block 1st degree.

They are not counterindicated, but it is better to use low doses or even avoid them if not really necessary.

I would just recommend performing a cardiac ultrasound and some tests to investigate for the possible causes of palpitations:

- complete blood count for anemia
- thyroid hormone levels for thyroid gland dysfunction
- blood electrolytes.

An ambulatory 24-48 hours ECG monitoring is necessary to examine your heart rhythm trends for a prolonged time.

You should discuss with your doctor on the above tests.

Hope to have been helpful!

Kind regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9533 Questions

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Should Beta Blockers Be Used With Caution In Patients With AV Block 1st Degree?

Brief Answer: I would explain as follows: Detailed Answer: Hello, Welcome and thank you for asking us. I passed carefully through your question and would explain that it is true that beta blockers should be used with caution in patients with AV block 1st degree. They are not counterindicated, but it is better to use low doses or even avoid them if not really necessary. I would just recommend performing a cardiac ultrasound and some tests to investigate for the possible causes of palpitations: - complete blood count for anemia - thyroid hormone levels for thyroid gland dysfunction - blood electrolytes. An ambulatory 24-48 hours ECG monitoring is necessary to examine your heart rhythm trends for a prolonged time. You should discuss with your doctor on the above tests. Hope to have been helpful! Kind regards, Dr. Iliri