Table 1. Classification of second- and third-degree AV block, and atrial fibrillation with bradyarrhythmia, based on electrocardiographic characteristics.
AV nodal block | Infra-nodal AV block | Undetermined level of AV block | |
Second-degree AV block | PR increment preceding a blocked P (Wenckebach) and narrow QRS | Constant PR interval preceding blocked P | PR increment (Wenckebach) preceding a blocked P and wide QRS |
2:1 AV block | Conducted impulse has long PR and narrow QRS; PR varies inversely with RP | Conducted impulse has normal PR and wide QRS; PR is constant despite varying RP | Conducted impulse has long PR and wide QRS or short PR and narrow QRS |
Third-degree AV block | Escape rhythm has narrow QRS and rate ≥ 40 beats/min | Escape rhythm has wide QRS and rate < 40 beats/min | Escape rhythm has wide QRS and rate ≥ 40 beats/min |
Atrial fibrillation and bradyarrhythmia | f waves with irregular narrow QRS | f waves with regular wide QRS | f waves with irregular wide QRS |
AV = atrioventricular