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    Heart Block: BY DR - Ariyalakshmi

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    Diksha chaudhary
    This document discusses heart block, defining it as an abnormal heart rhythm where the heart beats too slowly due to electrical signals being blocked between the atria and ventricles. It describes the three types of heart block - first, second, and third degree - detailing their characteristics such as conduction patterns and causes. Nursing diagnoses for heart block include decreased cardiac output and ineffective tissue perfusion due to reduced pumping of the heart.

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    Heart Block: BY DR - Ariyalakshmi

    Uploaded by

    Diksha chaudhary
    393 views26 pages
    This document discusses heart block, defining it as an abnormal heart rhythm where the heart beats too slowly due to electrical signals being blocked between the atria and ventricles. It describes the three types of heart block - first, second, and third degree - detailing their characteristics such as conduction patterns and causes. Nursing diagnoses for heart block include decreased cardiac output and ineffective tissue perfusion due to reduced pumping of the heart.

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    HEART BLOCK NEW

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    This document discusses heart block, defining it as an abnormal heart rhythm where the heart beats too slowly due to electrical signals being blocked between the atria and ventricles. It describes the three types of heart block - first, second, and third degree - detailing their characteristics such as conduction patterns and causes. Nursing diagnoses for heart block include decreased cardiac output and ineffective tissue perfusion due to reduced pumping of the heart.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    393 views26 pages

    Heart Block: BY DR - Ariyalakshmi

    Uploaded by

    Diksha chaudhary
    This document discusses heart block, defining it as an abnormal heart rhythm where the heart beats too slowly due to electrical signals being blocked between the atria and ventricles. It describes the three types of heart block - first, second, and third degree - detailing their characteristics such as conduction patterns and causes. Nursing diagnoses for heart block include decreased cardiac output and ineffective tissue perfusion due to reduced pumping of the heart.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 26

    HEART BLOCK

    BY
    Dr.ARIYALAKSHMI
    ❖Introduction
    ❖Definition of heart block
    ❖Etiology
    ❖Types of heart block
    ➢First degree block
    ➢Second degree block
    ➢Third degree block
    ❖Clinical manifestations
    ❖Management
    ❖Nursing diagnosis
    Cardiac conduction system
    and normal ECG
    Normal conduction pathway
    DEFINITION
    Heart block is an abnormal heart rhythm where
    the heart beats too slowly(bradycardia).

    In this condition, the electrical signals that tell


    the heart to contract are partially or totally
    blocked between the upper chambers(atria)
    and the lower chambers(ventricles)
    SECOND DEGREE HEART BLOCK
    • Second-degree heart block is classified into two categories:
    Type I and Type II.
    • Type I, also called Mobitz Type I or Wenckebach’s AV
    block): The less serious form of second-degree heart block.
    The electrical signal gets slower and slower until your heart
    actually skips a beat.
    • Type II, also called Mobitz Type II: Some of the electrical
    signals do not reach the ventricles, and the pattern is
    irregular. Your heartbeat may be slower than normal.
    Causes of second degree block
    • Drugs(beta-blockers, calcium channel blockers,
    amiodarone)
    • Cardiomyopathy
    • Rhematic fever, myocarditis
    • Varizella zoster virus infection
    • Rheumatic disease
    • Hypoxia
    • Hyperkalemia
    • Hypothyroidism
    • Inferior wall MI
    THIRD DEGREE BLOCK
    It is also referred to as complete heart block, is a disorder of the
    cardiac conduction system where there is no conduction
    through the atrioventricular node.
    FEATURES
    • Complete failure of the AV node
    • No impulse from sinus node will pass through to the ventricles
    • Some part of the conducting system will take over as a
    pacemaker of the heart (myocardial cell 10-15bpm)
    Causes of third degree block
    • Complications of heart surgery
    • Coronary heart disease
    • Radiotherapy
    • Infection
    • Hypertension
    • Medications
    • Aortic valve calcification
    • Trauma
    Nursing diagnosis
    Nursing priorities
    • Decreased cardiac output related to failure of the heart to pump
    enough blood to meet metabolic needs of the body as manifested by
    hypotension
    • Acute chest pain related to decrease blood flow to myocardium
    through coronary arteries
    • Ineffective tissue perfusion related to decrease cardiac output as
    manifested by patient syncope
    • Fatigue related to increased hypoxic tissue and slowed removal of
    metabolic wastes

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