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( PR interval,
? QRS with each P, PP
and RR intervals, ? wide QRS, R-R'/R-S- R' in V1, V2, or V6;
axis)
1. First Degree (1°) AV Block
- PR interval >0.20-0.22 sec, all P's associated with QRS
2. Type I 2° AV Block Mobitz Type I,
Wenckebach - increasing PR interval until QRS dropped,
usually benign, usually 3:2 4:3 or 5:4
3. Type II 2° AV Block Mobitz Type II
- QRS dropped without increasing PR interval(PR interval
constant), increased clinical risk.
4. Third Degree AV Block Complete AV Block
- atrial (P's) and ventricular beats (QRS) are independent, stable
P-P intervals, width of QRS depends on location of escape PM (junctlonal,
ventricular), usual rate 40 - 60/min.
5. RBBB R-R'/R-S-R' in V1 or V2 >=
0.12 sec with possible STdepression and flipped T waves; (incomplete
RBBB R-R' < 0.12 sec), wide S - I, aVL, V5, V6; may be benign,
possible T wave changes.
6. BBB
R-R' (no Q or S) in I, aVL and V6;QRS >= 0.12 sec,wide S V1
- V2, no R-S-R' in V1, possible T wave changes, +- LAD, difficultydiagnosing
infarct or ventricular hypertrophy when present.
7. LeftAnter.Hemiblock - LAFascicularBloc
LAD, QRS 0.10 - 0.12 sec, small Q in I and aVL; R in II, III,
and aVF; terminal R in aVR
8. Left Posterior Hemiblock - RAD;
QRS 0.10 - 0.12 sec; S in I; Q in II, III, and aVF
9. Bifascicular RBBB + LAFB, or RBBB
+ LBFB, or LBBB
10.Trifascicular RBBB + (LAFB or
LPFB) + 1° AVB, RBBB + LBBB
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