Sinoatrial block

SINOAURICULAR LOCK. It is the sinus pause (without P waves) of duration equal to twice the normal sinus cycle. Sinoatrial block is due to a conduction disorder during which an impulse from the sinus node cannot depolarize or is delayed.

Summary

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  • 1 Diagnosis
  • 2 Etiology
  • 3 1st degree Sinoauricular Block
  • 4 2nd degree Sinoauricular block type II
  • 5 3rd degree Sinoauricular Block
  • 6 2nd degree Sinoauricular block type I
  • 7 See also
  • 8 External Links
  • 9 Sources

Diagnosis

Interruption of the sinus rhythm due to a pause or lengthening of the PP interval equal to twice a normal cycle.

Etiology

Similar to the one described for Sinus arrest .

1st degree Sinoauricular block

They cannot be recognized on a normal EKG.

2nd degree Sinoauricular block type II

An interval without P waves that is equivalent to approximately 2, 3 or 4 times the normal PP cycle.

3rd degree Sinoauricular block

It can be recorded as the absence of P waves but cannot be confirmed without recording an ECG of the previous sinus rhythm.

 

2nd degree Sinoauricular block type I

Progressive shortening of the PP interval until a longer PP interval appears (containing the blocked pulse). The longest PP interval is less than the sum of two consecutive intervals.

 

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