Conduction Problems Flashcards
Always treat the EKG. Pay no mind to what the patient says!
True or False
False. Always treat the patient. Relief of symptoms comes first.
In what population will you find 1st degree heart block?
often seen in healthy people
possible causes for first degree heart block are_____
Acute MI
Rheumatic fever
What action will you take against 1st degree heart block?
No specific action is needed
Second degree heart block usually indicates
heart disease
Second degree heart block is often seen in
acute MI
name 2 kinds of Second degree heart block
mobitz type 2
Wenckebach
Do Mobitz Type 2 and Wenckebach require a specific treatment?
No specific treatment needed
Second degree heart block that is 2:1, 3:1, or 4:1 may indicate a need for
temporary or permanent pacing, especially if the ventricular rate is slow
Third degree heart block always indicates
conducting tissue disease
What treatment would you consider for Third degree heart block?
Temporary or permanent pacemaker
Right Bundle Branch Block would make you think of what defect?
Atrial Septal Defect
how would you treat a Right Bundle Branch Block?
No specific treatment
What would you consider for a Left Bundle Branch Block?
Aoritic stenosis and ischemic disease
Your patient with a Left Bundle Branch Block is asymptomatic. What will you do?
No action is needed.
A patient with severe chest pain and a Left Bundle Branch Block may have_____
An acute MI….intervention should be considered.
Left axis deviation requires what kind of action?
No action is needed
What would you consider in the patient that has left axis deviation?
Think about left ventricular hypertrophy and its causes.
Left axis deviation and right bundle branch block indicates a
severe conducting tissue disease
How will you treat a Left axis deviation and right bundle branch block
No specific treatment is needed
Your patient with a Left axis deviation and right bundle branch block has symptoms suggestive of complete heart block. What treatment may be required?
A pacemaker may be indicated.
