Heart blocks Flashcards

1
Q

which heart block is least seriuous

A

first degree

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2
Q

which heart block is most serious

A

third degree

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3
Q

how many types are in the middle

A

two types of second degree

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4
Q

pr interval required for first degree

A

greater than 200 ms

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5
Q

In first degree, each beat does what

A

passes but is delayed

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6
Q

usual rate of first degree block

A

60-100 bpm

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7
Q

IN first degree block the rhythm is

A

regular

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8
Q

first degree block p wave is

A

present and upright and precedes each qrs

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9
Q

first degree block pr interval is

A

greater than 200 ms

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10
Q

the only difference between first degree block and sinus rhythm is …

A

The prolonged Pr interval

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11
Q

first degree block treatment

A

Not treated in field unless associated with bradycardia, symptomatic

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12
Q

Second degree heart block occurs when …

A

an impulse reaching the av node is occasionally blocked

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13
Q

Second degree heart block type 1 names

A

mobitz type 1 or wenckebach

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14
Q

mobitz type 1 or wenckebach occurs when….

A

each successive impulse is delayed a little longer until one impulse is not allowed to continue

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15
Q

mobitz type 1 or wenckebach rate is

A

60-100 bpm

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16
Q

mobitz type 1 or wenckebach rhythm is

A

irregular with prolonged r to r intervals between the last qrs before the blocked p wave and the qrs after the first unblocked beat

17
Q

mobitz type 1 or wenckebach p wave is

A

present and upright and before most qrs complexes

18
Q

mobitz type 1 or wenckebach qrs measures

A

40- 120 ms

19
Q

Second degree heart block type 2 names…

A

mobitz type 2 /classical

20
Q

mobitz type 2 /classical is when …

A

several impulses are not allowed to continue.

21
Q

mobitz type 2 /classical has a rate of

A

60-100 bpm

22
Q

mobitz type 2 /classical rhythem ….

A

may be regular with every other p wave blocked or irregular with a prolonged r to r interval

23
Q

What is the easiest way to identify mobitz type 2 /classical

A

pr interval is always constant. All pr intervals among conducted p waves and corresponding qrs complexes are constant

24
Q

with mobitz type 2 /classical its important to remember that

A

it can be regular or irregular

25
Q

mobitz type 2 /classical treatment

A

treated only if associated with symptomatic bradycardia

26
Q

third degree heart block / complete block p waves are all

A

blocked from reaching the ventricles

27
Q

with third degree heart block / complete block, ventricles become

A

their own pacemaker

28
Q

third degree heart block / complete block ventricle rate is

A

less than 60 bpm

29
Q

third degree heart block / complete block r to r and p to p are

A

regular

30
Q

third degree heart block / complete block pr interval is

A

non existant

31
Q

third degree heart block , to identify , ….

A
  1. identify non conducted p waves and then the relationship between the p waves and the qrs complexes​​
  2. look for wide qrs, its common
  3. wide qrs( no narrow) with p waves you should suspect 3rd degree.
  4. ​If the rhythm is regular and the pr interbal is not constant , it is almost certainly 3rd degree block.
32
Q

third degree heart block / complete block treatmeant

A

ONly treat symptomatic