Third degree heart block rhythm strip

Second degree heart block Type 2, which is also called Mobitz II or Hay, is a disease of the electrical conduction system of the heart. Second-degree AV block Type 2 is almost always a disease of the distal conduction system located in the ventricular portion of the myocardium. Second-degree heart block type 2 is usually caused by structural damage to the conduction system of the heart. Causes of the structural damage to the conduction system include the following:. Second-degree AV block Type 2 should be treated with immediate transcutaneous pacing or transvenous pacing because there is risk that electrical impulses will not be able to reach the ventricles and produce ventricular contraction.

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Third Degree AV Block, Type II / Complete Heart Block

Complete Heart Block | Conditions & Treatments | UCSF Medical Center

What your opinion about this? It is an important entity to recognize as RVMI is associated with significant short term morbidity and mortality. A 71 year old male complained of near syncope and SOB without any chest pain. His pulse was slow. He was put on the monitor. Here is the rhythm strip: There is 3rd degree AV block at a rate of 48 A 12 lead ECG was recorded about 5 minutes later: Sinus rhythm at a rate of 60, with a normal PR interval, and right bundle branch block with no ischemia.
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6. ECG Conduction Abnormalities

These are the comments I hear over and over again prior to teaching ACLS classes, both original and recertification. Many people are intimidated by EKGs and unclear on the proper way to interpret a dysrhythmia in lead II. This basic review may benefit others as well. There are certain EKG rhythms, lethal ones, that require quick interpretation—rhythms such as ventricular fibrillation, ventricular tachycardia, and asystole.
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Complete heart block occurs when the electrical signal can't pass normally from the atria, the heart's upper chambers, to the ventricles, or lower chambers. If the atrioventricular AV node is damaged during surgery, complete heart block may result. Sometimes complete heart block occurs spontaneously without surgery.
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