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AV Junctional Blocks ECG Guide

This document provides an overview of AV junctional blocks, including first, second, and third degree blocks. It describes the key characteristics of each block such as PR interval prolongation or dissociation between P waves and QRS complexes. The causes of each block are also summarized, such as conduction delays or blocks in specific parts of the heart's electrical system. Examples are given of electrocardiogram rhythms demonstrating each type of AV block.

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8 views19 pages

AV Junctional Blocks ECG Guide

This document provides an overview of AV junctional blocks, including first, second, and third degree blocks. It describes the key characteristics of each block such as PR interval prolongation or dissociation between P waves and QRS complexes. The causes of each block are also summarized, such as conduction delays or blocks in specific parts of the heart's electrical system. Examples are given of electrocardiogram rhythms demonstrating each type of AV block.

Uploaded by

api-3738700
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPS, PDF, TXT or read online on Scribd

ECG Rhythm Interpretation

Module IV c

AV Junctional Blocks
Course Objectives

• To recognize the normal rhythm of the


heart - “Normal Sinus Rhythm.”
• To recognize the 13 most common
rhythm disturbances.
• To recognize an acute myocardial
infarction on a 12-lead ECG.
Learning Modules

• ECG Basics
• How to Analyze a Rhythm
• Normal Sinus Rhythm
• Heart Arrhythmias
• Diagnosing a Myocardial Infarction
• Advanced 12-Lead Interpretation
Arrhythmias

• Sinus Rhythms
• Premature Beats
• Supraventricular Arrhythmias
• Ventricular Arrhythmias
• AV Junctional Blocks
AV Nodal Blocks

• 1st Degree AV Block


• 2nd Degree AV Block, Type I
• 2nd Degree AV Block, Type II
• 3rd Degree AV Block
Rhythm #10

• Rate? 60 bpm
• Regularity? regular
• P waves? normal
• PR interval? 0.36 s
• QRS duration? 0.08 s
Interpretation? 1st Degree AV Block
1st Degree AV Block

• Deviation from NSR


– PR Interval > 0.20 s
1st Degree AV Block

• Etiology: Prolonged conduction delay in


the AV node or Bundle of His.
Rhythm #11

• Rate? 50 bpm
• Regularity? regularly irregular
• P waves? nl, but 4th no QRS
• PR interval? lengthens
• QRS duration? 0.08 s
Interpretation? 2nd Degree AV Block, Type I
2nd Degree AV Block, Type I

• Deviation from NSR


– PR interval progressively lengthens,
then the impulse is completely blocked
(P wave not followed by QRS).
2nd Degree AV Block, Type I

• Etiology: Each successive atrial impulse


encounters a longer and longer delay in
the AV node until one impulse (usually
the 3rd or 4th) fails to make it through
the AV node.
Rhythm #12

• Rate? 40 bpm
• Regularity? regular
• P waves? nl, 2 of 3 no QRS
• PR interval? 0.14 s
• QRS duration? 0.08 s
Interpretation? 2nd Degree AV Block, Type II
2nd Degree AV Block, Type II

• Deviation from NSR


– Occasional P waves are completely
blocked (P wave not followed by QRS).
2nd Degree AV Block, Type II

• Etiology: Conduction is all or nothing


(no prolongation of PR interval);
typically block occurs in the Bundle of
His.
Rhythm #13

• Rate? 40 bpm
• Regularity? regular
• P waves? no relation to QRS
• PR interval? none
• QRS duration? wide (> 0.12 s)
Interpretation? 3rd Degree AV Block
3rd Degree AV Block

• Deviation from NSR


– The P waves are completely blocked in
the AV junction; QRS complexes
originate independently from below the
junction.
3rd Degree AV Block

• Etiology: There is complete block of


conduction in the AV junction, so the
atria and ventricles form impulses
independently of each other. Without
impulses from the atria, the ventricles
own intrinsic pacemaker kicks in at
around 30 - 45 beats/minute.
Remember
• When an impulse originates in a ventricle,
conduction through the ventricles will be
inefficient and the QRS will be wide and
bizarre.
End of Module IV c

AV Junctional Blocks
Proceed to Module IV c Practice Quiz
on WebCT

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