A second degree AV block means that the AV node is only working intermittently to transmit the impulse through to the ventricles. This causes extra P waves to be present without a QRS complex after them. There are four main types: Mobitz type I (aka Wenckebach), Mobitz type II, 2:1, and a high grade block (3:1 or greater).
See also: AV Blocks
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What will you do for this altered and bradycardic patient?