The attending nurse records the ECG of a patient whose PR interval is 220 milliseconds which signifies the presence of first degree heart block. Which of the following sentences is not true about his condition?
  1. Prevalence is higher among elderly patients with other cardiovascular co-morbid condition
  2. Prevalence is highest among residents of Asian countries
  3. Patients usually have no or few symptoms
  4. Prevalence is higher in African Americans than Caucasian Americans
Explanation
Answer- B - The sentence “Prevalence is highest among residents of Asian countries” is not true about this patient’s condition. Individuals who present with first-degree atrioventricular block have few or no symptoms. Diagnosis is typically made during routine physical examination or when being examined for another compliant. Higher prevalence in younger adults occurs in athletes and university students. The condition is more prevalent in African Americans than Caucasian Americans. The condition also increases with natural aging and more prevalent among elderly patients with other cardiovascular co-morbid condition.
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