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ECG library

Second-degree AV block, Mobitz I (Wenckebach)

core
25 mm/s · 10 mm/mV · synthetic tracing
100%
IIIIIIaVRaVLaVFV1V2V3V4V5V6
II (rhythm)
Calipers:2000 ms50.0 small boxes30 bpm if R-RDrag the orange markers. One small box = 40 ms.

Key findings

  • Progressive PR prolongation
  • Grouped beating
  • Narrow QRS

Learning points

  • Grouped beating on the rhythm strip is Wenckebach's visual signature.
  • Nodal block (Mobitz I) is usually benign and often vagal or drug-related; infranodal block is not.

Connected