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    Heart Block

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    litan das
    This document summarizes different types of heart block based on ECG findings. It describes first degree AV block where the PR interval is prolonged but every P wave is followed by a QRS complex. It then describes three types of second degree heart block: Mobitz type 1 where the PR interval gradually prolongs before a blocked P wave; Mobitz type 2 where the PR interval remains fixed; and advanced or high grade block where 2 or more P waves are not conducted. Complete heart block is described as a failure of P waves to conduct resulting in dissociation of P waves and QRS complexes.

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    Heart Block

    Uploaded by

    litan das
    43 views17 pages
    This document summarizes different types of heart block based on ECG findings. It describes first degree AV block where the PR interval is prolonged but every P wave is followed by a QRS complex. It then describes three types of second degree heart block: Mobitz type 1 where the PR interval gradually prolongs before a blocked P wave; Mobitz type 2 where the PR interval remains fixed; and advanced or high grade block where 2 or more P waves are not conducted. Complete heart block is described as a failure of P waves to conduct resulting in dissociation of P waves and QRS complexes.

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    This document summarizes different types of heart block based on ECG findings. It describes first degree AV block where the PR interval is prolonged but every P wave is followed by a QRS complex. It then describes three types of second degree heart block: Mobitz type 1 where the PR interval gradually prolongs before a blocked P wave; Mobitz type 2 where the PR interval remains fixed; and advanced or high grade block where 2 or more P waves are not conducted. Complete heart block is described as a failure of P waves to conduct resulting in dissociation of P waves and QRS complexes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    43 views17 pages

    Heart Block

    Uploaded by

    litan das
    This document summarizes different types of heart block based on ECG findings. It describes first degree AV block where the PR interval is prolonged but every P wave is followed by a QRS complex. It then describes three types of second degree heart block: Mobitz type 1 where the PR interval gradually prolongs before a blocked P wave; Mobitz type 2 where the PR interval remains fixed; and advanced or high grade block where 2 or more P waves are not conducted. Complete heart block is described as a failure of P waves to conduct resulting in dissociation of P waves and QRS complexes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 17

    ECG Approach to Heart

    Block
    Dr. Shirshendu Dhar
    M.D Emergency Medicine
    Dept of EM
    AGMC & GBP Hospital
    Atrio-ventricular Conduction System
    First Degree AV Block
    • The PR interval is prolonged and measures >0.20 seconds

    • Every P wave is followed by a QRS complex


    1st Degree AV Block
    Second Degree AV Block
    • Three Types:-

    • Mobitz Type 1

    • Mobitz Type 2

    • Advanced or High Grade AV Block


    Type 1 Second Degree AV Block
    • Two or more consecutive P waves are conducted
    • Only single P waves are blocked
    • There is gradual prolongation of the PR interval before a ventricular
    complex is dropped
    • The PR interval always shortens immediately after the pause
    • The QRS complexes are usually narrow
    • Group beating is present
    • The R-R intervals are variable
    Mobitz Type 1
    Mobitz Type 1
    Type 2 Second Degree AV Block
    • Two or more consecutive P aves are conducted

    • Only single P waves are blocked

    • The PR intervals are fixed and do not vary. The PR interval does not
    prolong before or shorten after the pause

    • The QRS complexes are wide due to the presence of bundle branch block

    • The R-R intervals are fixed.


    Mobitz Type 2
    Mobitz Type 2
    Advanced or High Grade AV Block
    • It is a form of 2nd degree Heart block where 2 or more consecutive p
    waves are not conducted as in 3:1, 4:1.

    • The QRS complex may be narrow or wide.

    • The long pause are often terminated by escape beats.


    High Grade AV Block
    Complete Heart Block
    • Complete failure of atrial impulse to capture the ventricles

    • Only P waves will be present, unless an escape rhythm comes to


    rescue

    • The escape rhythm can be narrow or wide

    • The P waves and the QRS complexes are completely dissociated


    Complete Heart Block
    Heart Rate <60/min

    A<V
    A=V A>V

    P Wave Present
    PR Interval PR Interval PR Interval PR Interval QRS width
    Sinus Node
    Normal Prolonged Constant Variable Dysfunction

    Narrow Wide
    Sinus 1 Degree AV
    st
    Mobitz Type 2 R-R Interval Idioventricular
    Junctional Rhythm
    Bradycardia Block Rhythm

    • A = P wave
    Variable
    • V=QRS complex Mobitz Type
    Constant
    Complete Heart
    1 Block
    \

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