AV Blocks - First Degree Blocks

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A first degree heart block indicates that there is a delay in conduction between the atria and bundle of His. The cause may be due to either an interruption in either the atria or AV node itself. It is indicated on the ECG as having a prolonged P-R interval of >0.20 seconds duration indicating that depolarization is taking longer to travel through the AV node. Among the causes of first degree heart block are digitalis intoxication, beta-blockers, Calcium channel blockers and hyperkalemia (excess potassium in the blood). The electrical impulse will eventually get to the ventricles, so this type of heart block is actually a delay, not a true block of electrical activity.


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