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First Degree Heart Block - Course # 316-4

Description

  • First Degree Heart Block will look like a typical sinus rhythm with one distinguishing feature.
  • The P-R interval will be constant throughout the tracing and measure greater than 0.20 seconds.
  • Rate, regularity, P wave morphology and QRS duration and morphology will be unaffected.
  • NOTE: The rate will be that of the underlying rhythm. If the rate is “normal”, it will be 60 – 100 bpm. If it is bradycardia, the rate will be less than 60 bpm.
  • First Degree Heart Block is the most common heart block.
  • People are born with it everyday. They will likely live a long and healthy life and die from some other malady.
  • Patients who develop a heart block during an MI bear close observation. This must be reported to the licensed healthcare practitioner immediately.

Example

Notice the following: the only abnormality when analyzing this tracing is the abnormal duration of the P-R interval.

heart block ecg image 102

Practice Strip

  • Analyze this tracing using the five steps of rhythm analysis.
  • Compare your answers with the answers on the next slide.

heart block ecg image 103

Answers

  • Rhythm: Regular
  • Rate: 68
  • P Wave: Upright
  • PR interval: 0.28 sec
  • QRS: 0.08 sec
  • Interpretation: First Degree Heart Block
heart block ecg image 10bb



316 First Degree Heart Block - Course # 316-4