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Atrio-Ventricular Block
ECG Analysis
Shubhendu Sharma
1
AV Block
 Partial delays or complete
interruptions in the cardiac conduction
pathway between the atria and
ventricles
 The degree of block defines the type
and classification of heart block
2
AV Block
 Common causes:
◦ Ischemia
◦ Myocardial necrosis
◦ Degenerative disease of the conduction
system
◦ Congenital anomalies
◦ Drugs (especially digitalis preparations)
3
AV Block
 1st-degree AV heart block
 2nd-degree AV heart block, Mobitz
type I (Wenckebach)
 2nd-degree AV heart block, Mobitz
type II
 3rd-degree AV heart block
4
AV Block
5
1st-degree AV heart block
 Not a true block
 Is a consistent delay of conduction at
the level of the AV node
6
1st-degree AV heart block
7
1st-degree AV heart block
ECG description
8
2nd-Degree AV Heart Block,
Mobitz Type I
 Intermitt
ent block
at the
level of
the AV
node
 Also
referred
to as
Wencke
bach
12
2nd-Degree AV Heart Block,
Mobitz Type I
 More P waves than QRS complexes
and the rhythm has patterned
irregularity
 PR interval increases until a QRS
complex is dropped
 After dropped beat the next PR
interval is shorter
 As each subsequent impulse
generated there is a progressively
longer PR interval until again, a QRS
is dropped
13
2nd-Degree AV Heart Block,
Mobitz Type I
14
2nd-Degree AV Heart Block,
Mobitz Type II
 Intermitten
t block at
the level of
the bundle
of His or
bundle
branches
resulting in
atrial
impulses
that are
not
conducted
to the 16
2nd-Degree AV Heart Block,
Mobitz Type II
17
3rd-Degree AV Heart Block
 Complete block of conduction
at or below the AV node
 Impulses from atria cannot
reach ventricles
18
3rd-Degree AV Heart Block
19
3rd-Degree AV Heart Block
20
Differences Between AV Heart
Blocks
21
Practice makes ECG Easy
 Determine the type of dysrhythmia
22
Practice makes ECG Easy
 Determine the type of dysrhythmia
23
Practice makes ECG Easy
 Determine the type of dysrhythmia
24
Practice makes ECG Easy
 Determine the type of dysrhythmia
25
Practice makes ECG Easy
 Determine the type of dysrhythmia
26
Practice makes ECG Easy
 Determine the type of dysrhythmia
27
Practice makes ECG Easy
 Determine the type of dysrhythmia
28
Practice makes ECG Easy
 Determine the type of dysrhythmia
29
Practice makes ECG Easy
 Determine the type of dysrhythmia
30
Practice makes ECG Easy
 Determine the type of dysrhythmia
31
Practice makes ECG Easy
 Determine the type of dysrhythmia
32
Practice makes ECG Easy
 Determine the type of dysrhythmia
33
Practice makes ECG Easy
 Determine the type of dysrhythmia
34
Practice makes ECG Easy
 Determine the type of dysrhythmia
35
Practice makes ECG Easy
 Determine the type of dysrhythmia
36
Practice makes ECG Easy
 Determine the type of dysrhythmia
37
Practice makes ECG Easy
 Determine the type of dysrhythmia
38
Practice makes ECG Easy
 Determine the type of dysrhythmia
39
Practice makes ECG Easy
 Determine the type of dysrhythmia
40
Practice makes ECG Easy
 Determine the type of dysrhythmia
41
Practice makes ECG Easy
 Determine the type of dysrhythmia
42
Practice makes ECG Easy
 Determine the type of dysrhythmia
43
Practice makes ECG Easy
 Determine the type of dysrhythmia
44
Practice makes ECG Easy
 Determine the type of dysrhythmia
45
Practice makes ECG Easy
 Determine the type of dysrhythmia
46
Practice makes ECG Easy
 Determine the type of dysrhythmia
47
Practice makes ECG Easy
 Determine the type of dysrhythmia
48
Practice makes ECG Easy
 Determine the type of dysrhythmia
49
Practice makes ECG Easy
 Determine the type of dysrhythmia
50
Practice makes ECG Easy
 Determine the type of dysrhythmia
51
Practice makes ECG Easy
 Determine the type of dysrhythmia
52
Practice makes ECG Easy
 Determine the type of dysrhythmia
53
54
55

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AV block ecg analysis

Hinweis der Redaktion

  1. The normal PR interval is 0.12 to 0.20 seconds in duration.
  2. The normal PR interval is 0.12 to 0.20 seconds in duration.
  3. 3
  4. 2.1
  5. Mobitz 2
  6. Severe 1 degree
  7. Atrial rate 56 BPM, Ventricular rate 56 BPM, regular rhythm, P waves are upright and normal and each is followed by a QRS complex, QRS complexes are normal at 0.08 seconds in duration, PRI has a longer than normal duration 0.30 seconds, QT 0.40 seconds. Sinus bradycardia with 1st-degree AV heart block.
  8. Answer: Atrial rate 60 BPM, Ventricular rate 50 BPM, patterned irregularity, normal and upright P waves but not all are followed by a QRS complex, normal QRS complexes at 0.08 seconds, PRI is progressively longer until a QRS complex is dropped and then the cycle starts over again, QT 0.40 seconds. 2nd-degree AV heart block, type I.
  9. Answer: 50 BPM (ventricular) 84 BPM (atrial), regular rhythm, P waves are upright and normal but there are more P waves than QRS complexes, QRS complexes are bizarre-looking and wide at 0.20 seconds in duration, PRI is immeasurable (as the P waves are not associated with the QRS complexes), the P waves appear to march through the QRS complexes, QT 0.48 seconds. 3rd-degree AV heart block.
  10. Answer: Atrial rate 58 BPM, Ventricular rate 60 BPM, regular rhythm, P waves are upright and normal and each is followed by a QRS complex, QRS complexes are normal at 0.12 seconds in duration, PRI has a longer than normal duration 0.30 seconds and constant, QT 0.40 seconds. Sinus bradycardia with 1st-degree AV heart block.
  11. Answer: Atrial rate 94 BPM, Ventricular rate 48 BPM, regular rhythm, P waves are upright and normal but there are two P waves preceding each QRS (in other words, not all the P waves are followed by a QRS complex), QRS complexes are normal at 0.08 seconds in duration, PRI 0.16 seconds and is constant for the conducted beats, QT 0.36 seconds. 2nd-degree AV heart block, type II.
  12. Answer: Atrial rate 75 BPM, Ventricular rate 36 BPM, regular rhythm, P waves are upright and normal but there are more P waves than QRS complexes, QRS complexes are bizarre-looking and wide at 0.16 seconds in duration, PRI is immeasurable (as the P waves are not associated with the QRS complexes), the P waves appear to march through the QRS complexes, QT 0.36 seconds. 3rd- degree AV heart block.
  13. Answer: Atrial rate 45 BPM, Ventricular rate 45 BPM, regular rhythm, normal and upright P waves and each is followed by a QRS complex, QRS complexes at 0.08 seconds, PRI 0.44 seconds and constant, QT 0.48 seconds. Sinus bradycardia with 1st-degree AV heart block.
  14. Answer: Atrial rate 94 BPM, Ventricular rate 48 BPM, regular rhythm, P waves are upright and normal but there are two P waves preceding each QRS (in other words, not all the P waves are followed by a QRS complex), QRS (more accurately described as RS) complexes are 0.08 seconds in duration, PRI 0.24 seconds and is constant for the conducted beats, QT 0.36 seconds. 2nd-degree AV heart block, type II (there is also a 1st degree AV block).
  15. mobitz1
  16. Answer: Atrial rate 115 BPM, Ventricular rate 42 BPM, regular rhythm, P waves are upright and normal but there are more P waves than QRS complexes, QRS complexes are normal at 0.12 seconds in duration, PRI is immeasurable (as the P waves are not associated with the QRS complexes), the P waves appear to march through the QRS complexes, QT 0.44 seconds. 3rd-degree AV heart block.
  17. Av block 1 from mcq
  18. 3
  19. av2m2
  20. Av m1 mcq
  21. Mobitz 1
  22. 3
  23. 3
  24. 2 2
  25. 2 2
  26. 2 1
  27. 3
  28. 1
  29. Bbbbbb
  30. Mobiz 2
  31. 3
  32. 2.1
  33. 2.1
  34. 2 1 new