- P wave rate 130/min
- Complete heart block
- there is no relationship between the P waves and the QRS complexes
- Ventricular (QRS complex) rate 23/min
- The ventricular ‘escape’ rhythm has wide QRS complexes and abnormal T waves
What to do ?
In the absence of a history suggesting a myocardial infarction, this woman almost certainly has chronic heart block: the fall may or may not have been due to a Stokes–Adams attack.
She needs a permanent pacemaker, ideally immediately. If permanent pacing is not possible immediately, a temporary pacemaker will be needed preoperatively.
READ MORE : Conduction Blocks at the AV Node (AV Blocks)