Heart blocks Flashcards
which heart block is least seriuous
first degree
which heart block is most serious
third degree
how many types are in the middle
two types of second degree
pr interval required for first degree
greater than 200 ms
In first degree, each beat does what
passes but is delayed
usual rate of first degree block
60-100 bpm
IN first degree block the rhythm is
regular
first degree block p wave is
present and upright and precedes each qrs
first degree block pr interval is
greater than 200 ms
the only difference between first degree block and sinus rhythm is …
The prolonged Pr interval
first degree block treatment
Not treated in field unless associated with bradycardia, symptomatic
Second degree heart block occurs when …
an impulse reaching the av node is occasionally blocked
Second degree heart block type 1 names
mobitz type 1 or wenckebach
mobitz type 1 or wenckebach occurs when….
each successive impulse is delayed a little longer until one impulse is not allowed to continue
mobitz type 1 or wenckebach rate is
60-100 bpm
mobitz type 1 or wenckebach rhythm is
irregular with prolonged r to r intervals between the last qrs before the blocked p wave and the qrs after the first unblocked beat
mobitz type 1 or wenckebach p wave is
present and upright and before most qrs complexes
mobitz type 1 or wenckebach qrs measures
40- 120 ms
Second degree heart block type 2 names…
mobitz type 2 /classical
mobitz type 2 /classical is when …
several impulses are not allowed to continue.
mobitz type 2 /classical has a rate of
60-100 bpm
mobitz type 2 /classical rhythem ….
may be regular with every other p wave blocked or irregular with a prolonged r to r interval
What is the easiest way to identify mobitz type 2 /classical
pr interval is always constant. All pr intervals among conducted p waves and corresponding qrs complexes are constant
with mobitz type 2 /classical its important to remember that
it can be regular or irregular
mobitz type 2 /classical treatment
treated only if associated with symptomatic bradycardia
third degree heart block / complete block p waves are all
blocked from reaching the ventricles
with third degree heart block / complete block, ventricles become
their own pacemaker
third degree heart block / complete block ventricle rate is
less than 60 bpm
third degree heart block / complete block r to r and p to p are
regular
third degree heart block / complete block pr interval is
non existant
third degree heart block , to identify , ….
- identify non conducted p waves and then the relationship between the p waves and the qrs complexes
- look for wide qrs, its common
- wide qrs( no narrow) with p waves you should suspect 3rd degree.
- If the rhythm is regular and the pr interbal is not constant , it is almost certainly 3rd degree block.
third degree heart block / complete block treatmeant
ONly treat symptomatic