2.5 Postoperative Atrioventricular Block

COR	Recommendations Postoperative Atrioventricular Block	LOE	References
I	Permanent pacemaker implantation is indicated for postoperative advanced second- or third-degree AV block that persists for at least 7-10 days after cardiac surgery.	B-NR	21 22
I	Permanent pacemaker implantation is indicated for late-onset advanced second- or third-degree AV block especially when there is a prior history of transient postoperative AV block.	C-LD	23
IIb	Permanent pacemaker implantation may be considered for unexplained syncope in patients with a history of transient postoperative advanced second- or third-degree AV block.	C-LD	24 25
IIb	Permanent pacemaker implantation may be considered at <7 postoperative days when advanced second- or third-degree AV block is not expected to resolve due to extensive injury to the cardiac conduction system.	C-EO
IIb	Permanent pacemaker implantation may be considered in select patients with transient postoperative advanced second- or third-degree AV block who are predisposed to progressive conduction abnormalities (see text).	C-EO