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1st degree Delay in upper Prolonged PR interval Asymptomatic Remove offending agents
portion of node (> 200 ms) Often associated with Treat underlying condition
(cap) Normal QRS other disease No specific therapy for block
Ischemia No effect on HR needed
Toxins
Drugs
Conduction
disease
2nd degree 1. Regular Often asymptomatic Remove toxins
1. Type I 1. Delay in middle supraventricular When associated with Reduce or stop drug causing
(Wenkebach) portion of node rhythm; Progressive drugs or toxins, fatigue, problem
2. Type II 2. Delay in lower prolongation of PR or dyspnea common Atropine (blocks vagus AV
(Mobitz II) portion of node interval until a beat is Often seen in acute MI node, brings HR/BP up) if
dropped; Cycle is
May cause syncope or acutely symptomatic
Ischemia repetitive, and varies in
Temporary pacing if transient
near syncope
Toxins length; QRS usually
problem
Drugs narrow (normal); DOES
AFFECT HR Permanent pacing if MI and
Cardiomyopathy symptomatic
2. Regular
supraventricular
rhythm; Constant PR
interval (fixed ratio of
blocked/conducted
beats across node);
QRS often widened