Learn EKGs

Rules for Third Degree Block (Complete Heart Block)

Regularity: R-R interval will be regular.  P-P interval will also be regular.

Rate:  The atrial rate will be regular and normally be 60-100.  Rate of the QRS complexes is dependent on the focus.  If the focus is ventricular, the rate will be 20-40.  If the focus is junctional, the rate will be 40-60.

P WAVE:  P waves are upright and uniform.  There will be more P waves than QRS complexes.

PRI:  PRI is not measured because there is no relationship between P waves ad QRS complexes.

QRS:  Usually measures more than 0.12 seconds, however if the focus producing the QRS complex is junctional, it will be less than 0.12 seconds.