heart block Flashcards

1
Q

what is a first degree heart block ?

A

PR interval > 0.2 seconds

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2
Q

what is a second degree heart block

A

type 1 (Mobitz I, Wenckebach): progressive prolongation of the PR interval until a dropped beat occurs

type 2 (Mobitz II): PR interval is constant but the P wave is often not followed by a QRS complex

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3
Q

what is a third degree heart block ?

A

there is no association between the P waves and QRS complexes

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4
Q

auscultory features of first degree heart block ?

A

soft s1

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5
Q

x

A

x

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6
Q

x

A

x

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7
Q

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A

x

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8
Q

x

A

x

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9
Q

x

A

x

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10
Q

x

A

x

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11
Q

x

A

x

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12
Q

x

A

x

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13
Q

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A

x

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14
Q

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A

x

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15
Q

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A

x

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16
Q

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x

17
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18
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x

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19
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20
Q

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x

21
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x

22
Q

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x

23
Q

clinical features of complete heart block ?

A

syncope

heart failure

regular bradycardia (30-50 bpm) - lightheadedness

wide pulse pressure
JVP: cannon waves in neck

24
Q

what can be heard on auscultation with complete heart block?

A

variable intensity of S1

25
Q

which coronary artery is affected when there is a complete heart block following an MI ?

A

right coronary artery lesion

26
Q

x

A

x

27
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x

28
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x

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x

29
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30
Q

x

A

x

31
Q

x

A

x

32
Q

x

A

x

33
Q

auscultory features of LBBB?

A

soft S1