Second degree AV block EKG examples: Difference between revisions

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'''For the main page on Second Degree AV Block, click [[Second degree AV block|here]]'''.
'''For the main page on Second Degree AV Block, click [[Second degree AV block|here]]'''.


==EKG Examples==
==EKG Examples==
===Type I Second Degree AV Block===
===Type I Second Degree AV Block===
 
Shown below is an [[electrocardiogram]] showing type I second degree [[AV block]] ([[Wenckebach]]).
Shown below is an electrocardiogram showing type I second degree AV block (Wenckebach).
[[File:Wenckebach2.png|center|800px]]
[[File:Wenckebach2.png|center|500px]]
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
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Shown below is an electrocardiogram showing type I second degree AV block (Wenckebach).
Shown below is an [[electrocardiogram]] showing type I second degree [[AV block]] ([[Wenckebach]]).
[[File:Wenckebach3.jpg|center|500px]]
[[File:Wenckebach3.jpg|center|800px]]
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
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Shown below is an electrocardiogram showing type I second degree AV block (Wenckebach).
Shown below is an [[electrocardiogram]] showing type I second degree [[AV block]] ([[Wenckebach]]).
[[Image:Wenckebach_2.jpg|center|500px]]
[[Image:Wenckebach_2.jpg|center|800px]]
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
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Shown below is an electrocardiogram showing a Mobitz I A/V block with a gradual increase in the [[PR interval]] before the dropped [[p wave]]
Shown below is an electrocardiogram showing a Mobitz I A/V block with a gradual increase in the [[PR interval]] before the dropped [[p wave]]
[[File:MobitzIAVBlock.jpg|center|500px]]
[[File:MobitzIAVBlock.jpg|center|800px]]
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
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===Type II Second-Degree AV Block (Mobitz Type II Block)===
===Type II Second-Degree AV Block (Mobitz Type II Block)===
 
Shown below is an [[electrocardiogram]] of a 3 channel recording with a 2:1 [[AV block]] in a 73 year old woman with [[dizziness]]. 2 to 1 [[AV block]] (every other [[P wave]] is conducted to the [[ventricles]]) 2 to 1 [[AV block]] starts after the 5th [[QRS]] in this 3 channel recording. The first non-conducted [[P wave]] is indicated with an arrow. Note the [[long PR interval]] of conducted [[P waves]] is constant and the [[left bundle branch block]] 2 to 1 AV block cannot be classified into Mobitz type I or II as we do not know if the 2nd [[P wave]] would be conducted with the same or [[longer PR interval]].[[File:2_to_1_AV_block.jpg|center|800px]]
Shown below is an electrocardiogram of a 3 channel recording with a 2:1 AV block in a 73 year old woman with [[dizziness]]. 2 to 1 AV block (every other [[P wave]] is conducted to the [[ventricles]]) 2 to 1 AV block starts after the 5th [[QRS]] in this 3 channel recording. The first non-conducted [[P wave]] is indicated with an arrow. Note the [[long PR interval]] of conducted [[P waves]] is constant and the [[left bundle branch block]] 2 to 1 AV block cannot be classified into Mobitz type I or II as we do not know if the 2nd [[P wave]] would be conducted with the same or [[longer PR interval]].[[File:2_to_1_AV_block.jpg|center|500px]]
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
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Shown below is an electrocardiogram of a 2:1 AV Block with [[atrial tachycardia]].
Shown below is an electrocardiogram of a 2:1 AV Block with [[atrial tachycardia]].
[[File:2to1AVBlock2.jpg|center|500px]]
[[File:2to1AVBlock2.jpg|center|800px]]
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
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Shown below is an example of EKG showing two strips from the same patient with a 2:1 block on the top tracing and a Mobitz II A/V block on the lower one. Note that with 2:1 block you cannot tell if this is a Mobitz I or II. Mobitz II is seen below as the PR does not change before and after the non-conducted [[P wave]].
Shown below is an example of EKG showing two strips from the same patient with a 2:1 block on the top tracing and a Mobitz II A/V block on the lower one. Note that with 2:1 block you cannot tell if this is a Mobitz I or II. [[Mobitz II]] is seen below as the PR does not change before and after the non-conducted [[P wave]].
[[Image:Mobitz_II_AV_block.jpg|center|500px]]
[[Image:Mobitz_II_AV_block.jpg|center|800px]]
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
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==References==
{{Reflist|2}}
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[[Category:Electrophysiology]]
[[Category:Cardiology]]
[[Category:Disease]]

Latest revision as of 17:32, 21 April 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Syed Musadiq Ali M.B.B.S.[2]

For the main page on Second Degree AV Block, click here.

EKG Examples

Type I Second Degree AV Block

Shown below is an electrocardiogram showing type I second degree AV block (Wenckebach).

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an electrocardiogram showing type I second degree AV block (Wenckebach).

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an electrocardiogram showing type I second degree AV block (Wenckebach).

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Shown below is an electrocardiogram showing a Mobitz I A/V block with a gradual increase in the PR interval before the dropped p wave

Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page


Type II Second-Degree AV Block (Mobitz Type II Block)

Shown below is an electrocardiogram of a 3 channel recording with a 2:1 AV block in a 73 year old woman with dizziness. 2 to 1 AV block (every other P wave is conducted to the ventricles) 2 to 1 AV block starts after the 5th QRS in this 3 channel recording. The first non-conducted P wave is indicated with an arrow. Note the long PR interval of conducted P waves is constant and the left bundle branch block 2 to 1 AV block cannot be classified into Mobitz type I or II as we do not know if the 2nd P wave would be conducted with the same or longer PR interval.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page


Shown below is an electrocardiogram of a 2:1 AV Block with atrial tachycardia.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page


Shown below is an example of EKG showing two strips from the same patient with a 2:1 block on the top tracing and a Mobitz II A/V block on the lower one. Note that with 2:1 block you cannot tell if this is a Mobitz I or II. Mobitz II is seen below as the PR does not change before and after the non-conducted P wave.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page


References


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