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Updated: Jun 21, 2026

Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
[Third degree atrioventricular block.]
Insights
The prevalence of third degree atrioventricular block in the general population is low at 0.04%. Most cases were temporary, with underlying heart disease impacting prognosis more than the block itself.
Area of Science:
- Cardiology
- Electrophysiology
- Epidemiology
Context:
- Third degree atrioventricular block (AV block) is a serious condition disrupting cardiac conduction.
- Previous studies focused on hospitalized or professional groups, limiting general population data.
- Understanding prevalence in the general population is crucial for accurate risk assessment.
Purpose:
- To determine the prevalence of third degree AV block in a representative population sample.
- To assess the prognostic significance of third degree AV block in the general population.
Summary:
- A prospective study of 18,912 individuals (33-79 years) found a 0.04% prevalence of third degree AV block.
- The block was temporary in 64% of affected individuals.
- Underlying heart disease was present in all cases and appeared to be a more significant prognostic factor than the AV block itself.
Impact:
- This study reveals a higher prevalence of third degree AV block in the general population than previously reported.
- Findings suggest that underlying cardiac conditions are key determinants of prognosis.
- Fewer individuals required pacemakers than anticipated, indicating a potentially less severe clinical course in some cases.
Objective:
Third degree atrioventricular block is considered present when none of the atrial impulses are conducted to the ventricles because of a disruption in the conducting system. Third degree atrioventricular block is usually considered a serious sign but most studies have been performed on hospitalized patients or certain professional groups. The objective of this study was to find the prevalence of third degree atrioventricular block in a representative population sample and estimate its prognostic significance.
Material And Methods:
In the Reykjavik Study, a prospective cardiovascular population study, 9139 men and 9773 women aged 33-79 years were exam notined in 1967-1991. A standard electrocardiogram was taken from all persons examined and coded according to the Minnesota code.
Results:
Third degree atrioventricular block was found in 11 persons, seven males and four females, an overall prevalence of 0.04%. All these individuals had signs of arrythmia on electrocardiograms taken later, and in addition some other heart disease. The heart block was temporary in seven individuals (64%) but six (55%) needed a pacemaker.
Conclusions:
The prevalence of third degree atrioventricular block in this general population was low but nevertheless considerably higher than previously reported. The block was temporary in the majority of subjects. All had some underlying heart disease which seemed to affect the prognosis more than the heart block. In this survey fewer subjects than expected were found to need a pacemaker.
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