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7 Cards in this Set

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Sick Sinus Syndrome - symptomatic

Permanent pacing

AV Block 1st degree

PR interval is greater than 0.21 seconds

AV block, 2nd degree

Not all atrial beats are conducted to the ventricles



Abnormal conduction of AV node

1. Wenkebach


2. Mobitz

Wenckebach

Progressive lengthening of the PR interval with shortening of the RR interval



Eventually an atrial pulse is not conducted

Repeated cycles of:


Normal PR interval


Long, longer, even longer PR interval


Then a dropped beat

Mobitz

Intermittently nonconducted atrial beats



Due to block within the HIS bundle

Secondary to infranodal disease

Third degree AV block

Complete dissociation of atria and ventricles

Lesion distal to HIS bundle

AV block treatment

Permanent cardiac pacing for Mobitz type 2 and 3rd degree AV block

Temporary treatment : transthoracic or transvenous pacing