Heart Block
Heart Block
Heart Block
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
• Mobitz Type 1
• Mobitz Type 2
• 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
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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