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Bloqueo AV: Primer, Segundo y Tercer grado

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Bloqueo AV: Primer, Segundo y Tercer grado

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Quiz sobre bloqueos AV

Created by

Keiner Boneth
Keiner Boneth
Colombia

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Bloqueo AV: Primer, Segundo y Tercer grado
 

Bloqueo AV: Primer, Segundo y Tercer gradoOnline version

Quiz sobre bloqueos AV

by Keiner Boneth
1

¿Qué caracteriza un bloqueo AV de primer grado?

2

En bloqueo AV de segundo grado Mobitz I (Wenckebach), ¿qué ocurre?

3

¿Qué define al bloqueo AV de segundo grado Mobitz II?

4

Diferencia clave entre Mobitz II y Wenckebach (Mobitz I)

5

¿Qué es un bloqueo AV de tercer grado (completo)?

6

Tratamiento típico para un bloqueo AV completo sintomático?

7

¿Qué hallazgo ECG sugiere bloqueo AV de tercer grado?

8

Síntoma típico de bloqueo AV de alto grado que puede justificar tratamiento urgente?

9

Para Mobitz II, ¿qué riesgo es mayor si no se trata?

10

¿Qué diferencia hay en el QRS entre bloqueos de alto grado y de primer grado?

Explicación

El PR se alarga pero cada complejo P se continúa seguido por un QRS, sin latido perdido.

La conducción se va deteriorando hasta que se produce un 1er fallo de latido.

En Mobitz II, aparecen latidos perdidos sin variación previa del PR.

Mobitz I muestra progresión del PR; Mobitz II no muestra ese preaviso.

Las señales auriculares y ventriculares laten de forma independiente.

La opción de elección es la estimulación artificial para mantener frecuencia.

No hay sincronía entre la actividad auricular y ventricular.

El síncope por bradicardia puede indicar necesidad de pacing.

Mobitz II tiene alto riesgo de progresar a bloqueo completo.

La morfología del QRS depende del sitio de escape, no es la característica diagnóstica principal.

 
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