AV Block Bootcamp (Episode 2/3): what is the atrium doing, what is the ventricle doing, and what is their relationship?

ECG Weekly Workout with Dr. Amal Mattu


A 72-year-old female presents to the ED with dyspnea. The following ECG is obtained:

This week we continue our AV Block bootcamp with several cases to review what you learned last week! Make sure you have already reviewed last week’s case and written summary for a thorough review of what we covered! Now, look closely at this ECG and ask yourself these questions:

  1. What is the rhythm?
  2. What type of AV blocks require permanent pacemaker placement?
  3. What is your diagnosis and recommended treatment?