First Degree Heart Block ECG Interpretation with Sample Strip

ECG Strip

First Degree Heart Block Rhythm Strip Features

Rate: The underlying rate
Rhythm: Regular
P Wave: Normal
PR Interval: Prolonged (>0.20 sec)
QRS: Normal (0.06-0.10 sec)
Will look like a typical sinus rhythm. The P-R interval will be constant throughout the tracing and measure greater than 0.20 seconds.
A first degree Heart block occurs when electrical impulses moving through the Atrioventricular (AV) node are delayed (but not blocked). First degree indicates slowed conduction without missed beats.
External Source: http://www.uptodate.com/contents/first-degree-atrioventricular-block
Up-To-Date

Return to ECG Reference Guide Index

Authors and Sources

Authors and Reviewers

ECG heart rhythm modules: Thomas O'Brien.
ECG monitor simulation developer: Steve Collmann
12 Lead Course: Dr. Michael Mazzini, MD.
Spanish language ECG: Breena R. Taira, MD, MPH
Medical review: Dr. Jonathan Keroes, MD
Medical review: Dr. Pedro Azevedo, MD, Cardiology
Last Update: 11/8/2021

Sources

Electrocardiography for Healthcare Professionals, 6th Edition Kathryn Booth and Thomas O'Brien
ISBN10: 1265013470, ISBN13: 9781265013479
McGraw Hill, 2023
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company
EKG Reference Guide
EKG.Academy
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429
Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
ECG Reference Guide
PracticalClinicalSkills.com