AV Block: 2nd degree, Mobitz I (Wenckebach Phenomenon)
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AV Block: 2nd degree, Mobitz I (Wenckebach Phenomenon)
A review of the basic ECG features, causes and pathophysiology of Mobitz I AV Block (Wenckebach Phenomenon) with some example ECGs.
Aug 1, 2020
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First-Degree AV Block:🔍 A fixed delay in conduction at the AV node. Not a blockage, but a slowdown. 🔹 Diagnostic ECG Criteria ▸PR Interval: >200 ms (≥ 1 large box). ▸Rhythm: Regular sinus. ▸Conduction: 1:1 (Every P → QRS). ▸Constancy: Fixed PR interval. 💡 Clinical Pearls ▸Often Benign: Asymptomatic; common with high vagal tone, athletes, or medications (BB, NDHP-CCB, digoxin). ▸Context Matters: Assess for underlying heart disease, ischemia, or electrolytes. New onset in acute settings require
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