The ECG reveals a ______ pattern, with each P wave followed … | 마이메르시 MyMerci
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Diseases of the circulatory system
문제

The ECG reveals a ______ pattern, with each P wave followed by progressively longer PR intervals until a QRS complex is dropped.

해설
The Wenckebach pattern (Mobitz type I AV block) shows progressive lengthening of the PR interval until a QRS complex is dropped. This occurs due to gradually increasing conduction delay in the AV node, resulting in a missed ventricular beat.
같은 주제 다음 문제The patient's EKG shows significant ST ______ in leads V2 through V4, suggesting acute ant…

임상 시나리오

ECG Wenckebach Pattern (Mobitz Type I AV Block)

1. Key Characteristics:
- Progressive lengthening of PR intervals
- Dropped QRS complex
- Regular P waves
- Irregular R-R intervals

2. Diagnostic Criteria:
- PR interval gradually increases
- QRS complex eventually drops
- Pattern repeats cyclically
- Group beating phenomenon

3. Clinical Features:
- Usually benign condition
- Common in young, healthy individuals
- Often asymptomatic
- May occur during sleep/increased vagal tone

4. Conduction Abnormalities:
- AV node dysfunction
- Progressive conduction delay
- Intermittent block
- Normal QRS morphology

5. Treatment Considerations:
- Often requires no treatment
- Monitor for progression
- Reversible causes assessment
- Medication adjustment if symptomatic

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