AV Conduction: Difference between revisions

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==Second degree AV block==
==Second degree AV block==
In second degree AV block not all p-waves are being followed by QRS complexes: beat dropout occurs. Second degree AV block can be categorized in 3 types:
In second degree AV block not all p-waves are being followed by QRS complexes: beat dropout occurs. Second degree AV block can be categorized in 3 types:
===Second degree AV block type I (Wenckenbach)===
===Second degree AV block type I (Wenckebach)===
In second degree AV block type I, the PQ interval prolongs from beat to beat up until the drop-out of one QRS complex. The characteristics of a Wenkebach block:
In second degree AV block type I, the PQ interval prolongs from beat to beat up until the drop-out of one QRS complex. The characteristics of a Wenkebach block:
* QRS complexes cluster (e.g. a 5:4 block or 4:3 block)
* QRS complexes cluster (e.g. a 5:4 block or 4:3 block)
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The conduction disturbance in a type I block originates in the AV node. Isolated second degree AV block type I is relatively benign and not a pacemaker indication.
The conduction disturbance in a type I block originates in the AV node. Isolated second degree AV block type I is relatively benign and not a pacemaker indication.
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===Second degree AV block type II (Mobitz)===
===Second degree AV block type II (Mobitz)===
[[Image:Rhythm_Mobitz.png|thumb| Second degree AV block type II (Mobitz)]]
[[Image:Rhythm_Mobitz.png|thumb| Second degree AV block type II (Mobitz)]]