Manual Of Medicine
Manual Of Medicine

@ManualOMedicine

5 تغريدة 6 قراءة Oct 22, 2022
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DO NOT CONFUSE MOBITZ Type I and MOBITZ Type II AV BLOCK - KEY POINTS
➡️ Mobitz type I AVB is characterized by a lengthening P-R interval and a shortening R-R interval followed by a nonconducted P wave.
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➡️ Mobitz type I produces a characteristic and distinctive pattern of grouped beats on ECG
➡️ The most common location of conduction block in Mobitz I is at the level of the AV node
➡️ Most patients with Mobitz type I AVB are asymptomatic and generally requires no treatment
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➡️ Mobitz type I rarely, if ever, results in hemodynamic compromise or progresses to third-degree AVB.
➡️ Mobitz type II AVB is characterized by a constant P-R interval with unpredictable nonconducted P waves. Unlike type I AVB, there is no distinguishable ECG pattern.
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➡️ Mobitz type II AVB is always abnormal, usually associated with significant heart disease and has high rate of progression to complete heart block.
➡️ The conduction delay of Mobitz type II is usually below the AV node.
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➡️ Patients with type II AVB are at greater risk of symptomatic bradycardia and progression to CHB. For this reason, patients require hospitalization and evaluation for pacemaker placement
➡️ It is challenging to differentiate between type I and II AVB when conduction is 2:1

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