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  • Differential Diagnosis: Sinus Arrhythmia Without SA Block. The

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    Lwin Maung Maung Thike
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    This document discusses different types of conduction abnormalities that can appear on an electrocardiogram (ECG). It describes sinus arrest with Wenckebach periodicity, where the PP interval before a pause is shorter than after. Type II second-degree sinus block is also examined, where the PP interval remains constant until a conduction failure occurs, with the pause being around twice the normal PP interval. Finally, locations of atrioventricular block are identified, including the AV node, His bundle, and bundle branches. First-degree AV block is defined as a PR interval over 0.20 seconds while all P waves still conduct to the ventricles.

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    This document discusses different types of conduction abnormalities that can appear on an electrocardiogram (ECG). It describes sinus arrest with Wenckebach periodicity, where the PP interval before a pause is shorter than after. Type II second-degree sinus block is also examined, where the PP interval remains constant until a conduction failure occurs, with the pause being around twice the normal PP interval. Finally, locations of atrioventricular block are identified, including the AV node, His bundle, and bundle branches. First-degree AV block is defined as a PR interval over 0.20 seconds while all P waves still conduct to the ventricles.

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    1 views1 page

    Differential Diagnosis: Sinus Arrhythmia Without SA Block. The

    Uploaded by

    Lwin Maung Maung Thike
    This document discusses different types of conduction abnormalities that can appear on an electrocardiogram (ECG). It describes sinus arrest with Wenckebach periodicity, where the PP interval before a pause is shorter than after. Type II second-degree sinus block is also examined, where the PP interval remains constant until a conduction failure occurs, with the pause being around twice the normal PP interval. Finally, locations of atrioventricular block are identified, including the AV node, His bundle, and bundle branches. First-degree AV block is defined as a PR interval over 0.20 seconds while all P waves still conduct to the ventricles.

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    of 1

    Lesson VI - ECG Conduction Abnormalities

    The PP interval following the pause is greater than the PP


    interval just before the pause

    Differential Diagnosis: sinus arrhythmia without SA block. The


    following rhythm strip illustrates SA Wenckebach with a ladder
    diagram to show the progressive conduction delay between SA
    node and the atria. Note the similarity of this rhythm to marked
    sinus arrhythmia. (Remember, we cannot see SA events on the
    ECG, only the atrial response or P waves.)

    click here to view

    Type II SA Block:

    PP intervals fairly constant (unless sinus arrhythmia present)


    until conduction failure occurs.

    The pause is approximately twice the basic PP interval

    Image not available

    3. Atrio-Ventricular (AV) Block

    Possible sites of AV block:

    AV node (most common)

    His bundle (uncommon)

    Bundle branch and fascicular divisions (in presence of already existing


    complete bundle branch block)

    1st Degree AV Block: PR interval >0.20 sec; allP waves conduct to the ventricles.

    http://library.med.utah.edu/kw/ecg/ecg_outline/Lesson6/index.html (3 of 11) [5/11/2006 9:39:39 AM]

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