ECG presentation课件.pptVIP

* Key Concept: Use this slide to discuss the classification of atrioventricular block. * Key Concept: For the healthcare providers, atrioventricular blocks are often the most difficult rhythms to understand and identify. This series of slides reviews the progression of atrioventricular block from first degree through third degree. Review in this slide again the normal conduction system, emphasizing the delay in the atrioventricular node and the normal limit of the PR interval. Note that there is one P wave that conducts through the AV node and stimulates ventricular excitation. * Key Concept: This slide demonstrates delayed conduction through the AV node but still 1:1 atrioventricular conduction. Clinical Correlation: No symptoms occur and no treatment is necessary. * Key Concept: This slide demonstrates delayed conduction through the AV node but still 1:1 atrioventricular conduction. The ECG is displayed, and the green arrows identify the limits of the prolonged PR interval. Ask the students what the approximate duration of the PR interval is. Review the surface ECG measurements. Clinical Correlation: No symptoms occur and no treatment is necessary. * Key Concept: This slide demonstrates delayed conduction through the AV node with progressive prolongation of the PR interval and, eventually, complete block of conduction—Mobitz I or Wenckebach phenomenon. The ECG shown and the green arrows identify the progressive prolongation and then block of conduction in the AV node. Note that this conduction disturbance occurs in the part of the AV node innervated by the vagus nerve. Excess vagal stimulation may cause or contribute to this form of AV block, and treatment with atropine—rarely indicated—would be expected to improve conduction. Clinical Correlation: No symptoms occur and no treatment is usually necessary. * Key Concept: This slide demonstrates delayed conduction through the AV node without progressive prolongation of the PR interval and, eventually, sudd