Assignment: Second Degree Heart Block Mobits

Assignment: Second Degree Heart Block Mobits

Second Degree Heart Block Mobits Type 1 Assignment: Create a Powerpoint presentation describing Second Degree Heart Block Mobits Type 1.

Information mu

st include the 5 criteria of classification, which include

Rhythm

Rate

P Wave

PR Interval

QRS Duration

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

Second Degree Heart Block Mobits Type 1 Assignment

Presentation must include at least 3 references

Mobitz II block has been redefined (Hay Block)
Intermittent non-conducted P waves without increasing PR interval extension are a type of 2nd degree AV block.

Hay AV Block 1 ECG Mobitz II
QRS complexes that have been “dropped” are indicated by arrows (i.e. non-conducted P waves)
Other features include:
In the conducted beats, the PR interval remains constant.
P waves’march through’ at a steady pace.
The RR interval around the dropped beat(s) is an exact multiple of the RR interval before it (e.g. double the preceding RR interval for a single dropped beat, triple for two dropped beats, etc)
ECG Mobitz II Hay AV Block 2 ECG Mobitz II Hay AV Block 2 ECG Mobitz II Hay AV Block 2 ECG Mobitz II Hay AV Block 2 ECG Mobitz II Hay AV Block 2 ECG Mobit

Mechanism
The breakdown of conduction at the level of the His-Purkinje system is frequently the cause of Mobitz II (i.e. below the AV node)
Mobitz I is caused by a functional suppression of AV conduction (e.g., medications, reversible ischaemia), whereas Mobitz II is caused by structural damage to the conducting system (e.g. infarction, fibrosis, necrosis)
The 2nd degree AV block is caused by occasional failure of the remaining fascicle (“bilateral bundle-branch block”) in patients who already have an LBBB or bifascicular block.
The conduction block is found distal to the Bundle of His in about 75% of instances, resulting in wide QRS complexes.
The conduction block is seen within the His Bundle in the remaining 25% of instances, resulting in narrow QRS complexes.
Unlike Mobitz I, which is caused by AV nodal cell exhaustion, Mobitz II is a “all or nothing” condition in which the His-Purkinje cells fail to conduct a supraventricular impulse suddenly and unexpectedly.

There could be no structure to the conduction blockade, or there could be a definite relationship between the P waves and QRS complexes, such as a 2:1 block or a 3:1 block.
Mobitz II Anterior MI Causes (related to septal infarction with bundle branch necrosis)
Idiopathic conducting system fibrosis (Lenègre-Lev illness)
Cardiac surgery, particularly surgery near the septum, such as mitral valve repair
Inflammatory diseases (rheumatic fever, myocarditis, Lyme disease)
Autoimmune disease is a condition in which the body’s (SLE, systemic sclerosis)
Myocardial infiltrates are a type of infiltrative myocardial pathology (amyloidosis, haemochromatosis, sarcoidosis)
Hyperkalaemia
Beta-blockers, calcium channel blockers, digoxin, and amiodarone are some of the medications used.
Clinical Importance
Mobitz II has a substantially higher risk of haemodynamic compromise, severe bradycardia, and progression to 3rd degree heart block than Mobitz I.
Syncope (Stokes-Adams attacks) or sudden cardiac death can occur when haemodynamic instability develops suddenly and unexpectedly.
The chance of asystole is about 35% per year.
Mobitz II requires prompt hospitalization for cardiac monitoring, backup temporary pacing, and, eventually, permanent pacemaker implantation.
ECG 1 as an example

Topics That Are Related
1st degree AV block
2nd degree AV block, Mobitz II
2nd degree AV block, “fixed ratio blocks” (2:1, 3:1)
2nd degree AV block, “high grade AV block”
3rd degree AV block (complete heart block)
Second-degree AV block has a long and illustrious history. 2020
Karel Frederik Wenckebach’s eponym (1864 -1940). LITFL 2020 is a project that will take place in 2020.
Woldemar Mobitz (1889–1951) was the eponym. LITFL 2020 is a project that will take place in 2020.
John Hay (1873–1959), eponym. LITFL 2020 is a project that will take place in 2020.