Mobitz Type I

Metaphorically, picture the junction as a gate. In 2nd degree AV block type I, the gate slowly closes with the time taken for the impulse to get through the gate progressively getting longer. The PR interval progressively lengthens as a result. Eventually, the gate closes and the atrial wave is not carried to the ventricles – a lonely P wave results. With a dropped QRS, the gate then springs back open to begin the process again (PR interval begins narrow once again).

Second degree AV block type I is recognized by cycles of lengthening PR intervals that terminate a lonely P wave. This cycle repeats forming a pattern. Although the loss of every 3rd or 4th beat impacts cardiac output minimally, this rhythm does require monitoring. Aggressive treatment is usually not required.

Second degree AV block type I occurs at the AV node. Causes of second degree AV block are identical to first degree AV block. Typically, the patient is monitored, placed on oxygen and assessed for signs of cardiac ischemia.

2nd Degree AB Block Type 1 (Mobitz I)

1. Six Second ECG Guidebook (2012), T Barill, p. 127

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