{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T03:03:00Z","timestamp":1770692580488,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Atrioventricular block (AVB) is a cardiac conduction disorder that can lead to significant clinical outcomes, particularly in resource\u2010limited and conflict\u2010affected regions. In Syria, healthcare infrastructure has been severely impacted by ongoing conflict, potentially affecting the prevalence and management of AVB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cross\u2010sectional study at Tishreen University Hospital in Latakia, Syria, with patients &gt;\u200940 who presented to the emergency department (ED) from June 1 to August 1, 2024. Routine 12\u2010lead ECGs were performed, with AVB diagnoses confirmed by two independent cardiology consultants. Exclusion criteria included pre\u2010existing AVB, pacemaker presence, hemodynamic instability, and ECG diagnostic discrepancies. Patient demographics and comorbidities were assessed, and logistic regression analyses identified predictors of AVB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final analysis included 692 patients, of which AVB was detected in 7% of the cohort. Patients with AVB were significantly older (median age 76 vs. 54 years, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and had higher rates of ischemic heart disease (IHD) (62% vs. 14%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and diabetes (56% vs. 21%, <jats:italic>p<\/jats:italic>\u2009=\u20090.01). Logistic regression showed older age (odds ratio [OR]: 2.8, 95% confidence interval [CI]: 1.6\u22125.6, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), IHD (OR: 1.9, 95% CI: 1.4\u22124.5, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and DM (OR: 3.9, 95% CI: 2.9\u22128.3, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were independently associated with AVB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>AVB prevalence in the Syrian ED setting is high, with age, IHD, and diabetes as significant predictors. Routine ECG screening in EDs may facilitate early AVB detection in at\u2010risk populations, especially in conflict\u2010affected regions with limited healthcare resources. This approach could improve outcomes by enabling timely intervention in high\u2010risk patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16578","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T09:54:09Z","timestamp":1736762049000},"page":"576-581","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Prevalence and Predictors of Atrioventricular Blocks in Syrian Patients Reporting to the Emergency Department During the Ongoing Conflict: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"36","author":[{"given":"Ibrahim","family":"Antoun","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Aleppo Aleppo Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alkassem","family":"Alkhayer","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Tishreen's Hospital Latakia Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aref Jalal","family":"Eldin","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Tishreen's Hospital Latakia Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alamer","family":"Alkhayer","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Tishreen's Hospital Latakia Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled","family":"Yazji","sequence":"additional","affiliation":[{"name":"Department of Cardiology The View Hospital Qatar Qatar"},{"name":"Faculty of Medicine University of Damascus Damascus Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riyaz","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences University of Leicester Leicester UK"},{"name":"Department of Cardiology University Hospitals of Leicester NHS Trust, Glenfield Hospital Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Andr\u00e9 Ng","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences University of Leicester Leicester UK"},{"name":"Department of Cardiology University Hospitals of Leicester NHS Trust, Glenfield Hospital Leicester UK"},{"name":"NIHR Leicester Biomedical Research Centre Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Zakkar","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Damascus Damascus Syria"},{"name":"Department of Cardiovascular Sciences University of Leicester Leicester UK"},{"name":"Department of Cardiac Surgery University Hospitals of Leicester NHS Trust, Glenfield Hospital Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","article-title":"Two Cases of Immune Checkpoint Inhibitor\u2010Induced Myocarditis With Complete Atrioventricular Block","volume":"15","author":"Kondo 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