Heart Block

 September 21

by Jonathan Downham

First-Degree Heart Block:

  • Description: The electrical signals are delayed as they pass through the atrioventricular (AV) node, but all signals eventually reach the ventricles.
  • ECG Findings: Prolonged PR interval (>200 ms)
  • Symptoms: Usually asymptomatic
  • Treatment: Generally, no treatment is required.

LITFL

Second-Degree Heart Block (Type I or Mobitz I/Wenckebach):

  • Description: Progressive lengthening of the PR interval until a QRS complex is dropped.
  • ECG Findings: Increasing PR interval with dropped QRS complex
  • Symptoms: May be asymptomatic or may experience dizziness
  • Treatment: Close monitoring, may require a pacemaker

Second-Degree Heart Block (Type II or Mobitz II):

  • Description: Some electrical signals are blocked, leading to dropped QRS complexes without PR interval prolongation.
  • ECG Findings: Dropped QRS complexes with constant PR interval
  • Symptoms: Dizziness, fainting
  • Treatment: Usually requires a pacemaker

Third-Degree Heart Block (Complete Heart Block):

  • Description: No electrical signals from the atria reach the ventricles.
  • ECG Findings: Atria and ventricles beat independently
  • Symptoms: Fatigue, dizziness, fainting
  • Treatment: Requires immediate pacemaker implantation

share this

Related Posts

Hypophosphatemia in Critical Care

Summary:In this episode, we spotlight a stealthy ICU disruptor — hypophosphataemia. Based on a 2024 narrative review in the Journal of Clinical Medicine, we explore why phosphate matters, how it goes missing in critically ill patients, and why you should care even when it’s just “a little low.”What’s Covered:The vital role of phosphate in energy,

Read More

Mobilisation in Critical Care- Barriers and Culture

Mobilisation in the ICU raises two big questions: is it safe, and will staff embrace it?In this discussion, Jonathan explores both sides of the story:Safety first:Large prevalence studies show mobilisation is happening, though often inconsistently.A systematic review of 1,800+ sessions found serious adverse events in only 0.6% — most minor and short-lived.Even patients on CRRT can safely mobilise

Read More