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AV Nodal Blocks: 1st Degree AV Block 2nd Degree AV Block, Type I 2nd Degree AV Block, Type II 3rd Degree AV Block

This document summarizes different types of atrioventricular (AV) blocks. It defines first, second, and third degree AV blocks and provides key details about each: - First degree AV block is defined as a prolonged PR interval over 0.20 seconds, with normal sinus rhythm otherwise. - Second degree AV block type I shows a progressively lengthening PR interval until a P wave is blocked, while type II shows occasional blocked P waves without PR prolongation. - Third degree AV block shows no relation between P waves and QRS complexes, with the ventricles beating independently below the AV junction at a default rate of 30-45 bpm.

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132 views14 pages

AV Nodal Blocks: 1st Degree AV Block 2nd Degree AV Block, Type I 2nd Degree AV Block, Type II 3rd Degree AV Block

This document summarizes different types of atrioventricular (AV) blocks. It defines first, second, and third degree AV blocks and provides key details about each: - First degree AV block is defined as a prolonged PR interval over 0.20 seconds, with normal sinus rhythm otherwise. - Second degree AV block type I shows a progressively lengthening PR interval until a P wave is blocked, while type II shows occasional blocked P waves without PR prolongation. - Third degree AV block shows no relation between P waves and QRS complexes, with the ventricles beating independently below the AV junction at a default rate of 30-45 bpm.

Uploaded by

EdRobertArnad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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AV Nodal Blocks

1st

Degree AV Block Degree AV Block, Type I Degree AV Block, Type II

2nd 2nd 3rd

Degree AV Block
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Rhythm #10

Rate? Regularity? P waves? PR interval? QRS duration?

60 bpm regular normal 0.36 s 0.08 s

Interpretation? 1st Degree AV Block

1st Degree AV Block


Deviation
PR

from NSR
> 0.20 s

Interval

1st Degree AV Block

Etiology:

Prolonged conduction delay in the AV node or Bundle of His.

Rhythm #11

Rate? Regularity? P waves? PR interval? QRS duration?

50 bpm regularly irregular nl, but 4th no QRS lengthens 0.08 s

Interpretation? 2nd Degree AV Block, Type I

2nd Degree AV Block, Type I

Deviation
PR

from NSR

interval progressively lengthens, then the impulse is completely blocked (P wave not followed by QRS).

2nd Degree AV Block, Type I

Etiology:

Each successive atrial impulse encounters a longer and longer delay in the AV node until one impulse (usually the 3rd or 4th) fails to make it through the AV node.

Rhythm #12

Rate? Regularity? P waves? PR interval? QRS duration?

40 bpm regular nl, 2 of 3 no QRS 0.14 s 0.08 s

Interpretation? 2nd Degree AV Block, Type II

2nd Degree AV Block, Type II

Deviation

from NSR

Occasional

P waves are completely blocked (P wave not followed by QRS).

2nd Degree AV Block, Type II

Etiology:

Conduction is all or nothing (no prolongation of PR interval); typically block occurs in the Bundle of His.

Rhythm #13

Rate? Regularity? P waves? PR interval? QRS duration?

40 bpm regular no relation to QRS none wide (> 0.12 s)

Interpretation? 3rd Degree AV Block

3rd Degree AV Block

Deviation
The

from NSR

P waves are completely blocked in the AV junction; QRS complexes originate independently from below the junction.

3rd Degree AV Block

Etiology:

There is complete block of conduction in the AV junction, so the atria and ventricles form impulses independently of each other. Without impulses from the atria, the ventricles own intrinsic pacemaker kicks in at around 30 45 beats/minute.

Remember
When

an impulse originates in a ventricle, conduction through the ventricles will be inefficient and the QRS will be wide and bizarre.

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