Quote:
Originally Posted by Brush Okie
EKG. 2nd degree heart block Type II. Starts off 4 even then drops to two even? Notice how some of the QRS complexes are even but there are intervals where a QRS is dropped. This is headed to a 3rd degree heart block .
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I disagree with your assessment - the p-waves are not well visualized and with 2nd degree heart block you have progressive lengthening of the PR interval and finally drop a beat - this doesn't fit that pattern.
Given that this has likely been going on for >24 hours I agree with deferring cardioversion for now.
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