Atrioventricular (AV)

Heart Block
 Classification of AV
Heart Blocks
Degree AV Conduction Pattern
Uniformly prolonged PR
1St
Degree Block
interval
nd Progressive PR interval
2 Degree, Mobitz Type I
prolongation
2nd Degree, Mobitz Type
Sudden conduction failure
II
3rd Degree Block No AV conduction
 First Degree Block

• prolonged PR interval
 Second Degree AV
Block

• Mobitz type I or Winckebach

• Mobitz type II
Mobitz Type I
 Mobitz Type I

• Progressive lengthening of the PR

interval from beat to beat until a beat is
dropped.
• The PR interval after the nonconducted
P wave is shorter than the PR interval
before the nonconducted P wave.
Mobitz Type II
 Mobitz Type II
• Sudden appearance of a single, non-
conducted sinus P wave...
• ...without...
• ...the progressive prolongation of the
PR intervals…
• ...and the shortening of the PR
interval in the beat after the
nonconducted P wave.
 Advanced Second-
Degree AV Block

Two or more consecutive nonconducted sinus P waves

 Third-Degree
(Complete) AV Block
 Third-Degree
(Complete) AV Block
• P waves are present, with a regular
atrial rate faster than the ventricular rate
• QRS complexes are present, with a
flow (usually fixed) ventricular rate
• The P wave bears no relation to the
QRS complexes, and the PR intervals
are completely variable