How can you differentiate second degree heart block type 1 and type 2? In type 2 (or Mobitz II), there are ✨intermittently non-conducted P waves✨ This is just a fancy way of saying that every once in a while, some of the P waves are NOT followed by a QRS complex. We have those "dropped beats", where the atria contract, but the signal doesn't get to the ventricles...so the ventricles don't contract! The key difference is that in second degree type 2, there is NO lengthening of the PR interval! It
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