2nd degree AV block Type II w/ 3:1 conduction. Vent rate of 30-ish, going to need some intervention most likely! Atropine may not touch this and I'd expect 3rd degree soon, so the pt will get paced as soon as hemodynamics are established (or the more likely: lack thereof).
+2 for C. Watford's interpretation. The PR interval for each conducted beat is consistent, which does not indicate (at least in my opinion) AV dissociation.
6 comments:
Looks rather like complete AV dissociation here...no relation at all between the P waves and QRS complexes.
2nd degree AV block Type II w/ 3:1 conduction. Vent rate of 30-ish, going to need some intervention most likely! Atropine may not touch this and I'd expect 3rd degree soon, so the pt will get paced as soon as hemodynamics are established (or the more likely: lack thereof).
I agree with C watford...
+2 for C. Watford's interpretation. The PR interval for each conducted beat is consistent, which does not indicate (at least in my opinion) AV dissociation.
Give it five minutes, though...
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