Second degree AV block physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Physical examination

Appearance of the patient

• Patients with second degree AV block type I (Mobitz I) are usually asymptomatic.
• Only patients with previous cardiac condition as myocardial ischemia may appear in distress.
• Patients with Mobitz II can appear asymptomatic as well. However, in more cases they may be in distress or progress to the more severe third degree AV block.

Vitals

• Bradycardia with irregular pulse
• Lightheadedness
• Hypotension
• Syncope or presyncope

References

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