Atrioventricular Blocks

Atrioventricular blocks (AV blocks) result from a conduction disturbance at or just below the AV junction. The 3rd step of the 3 step process prompts us to check the P waves and the PR interval. Abnormal PR intervals and lonely ‘P’ waves define the type of AV block.

From a clinical perspective, the severity of a block is similar to the severity of burns. The higher the degree of burn the more aggressive the treatment. Similar escalation in treatment is required for higher levels of AV blocks. The affects of 2nd degree type II and 3rd degree AV blocks on cardiac output can be much more significant than the affects of 2nd degree type I and 1st degree AV blocks.

For more complete details see:

First Degree AV Block (1° avb)

– Second Degree AV Blocks

– Second Degree AV Block Type I (2° avb TI)

– Second Degree Block Type II (2° avb TII)

– Second Degree AV Block with a 2:1 Conduction (2° avb 2:1)

– Third Degree AV Block (3° avb)

1. Six Second ECG Guidebook (2012), T Barill, p. 125-128

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Reference materials included
Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
Acute Coronary Syndromes In-Depth
ST Segment & T Wave Differential
Identify Bundle Branch Blocks
15 | 18 Lead View Mapping
Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
Special Cases

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