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| | NGC - NGC Summary |
 | | Mobitz II AV block, especially with a wide QRS complex, typically results from disease in the distal (i.e., His-Purkinje) system, and thus if complete block develops, then the escape pacemakers tend to be slow and unreliable. |
 | | Mobitz I (Wenckebach) AV block with a narrow QRS complex is typical of a proximal (i.e., AV nodal) site of block, and thus if complete block develops, then the escape pacemakers are faster and more reliable. |
 | | For patients with Mobitz II advanced second-degree AV block, or complete heart block, ECG monitoring should be continued until the block resolves or until a definitive therapy (usually implantation of a permanent pacemaker) is implemented. |
| www.guideline.gov /summary/summary.aspx?view_id=1&doc_id=6181 (8803 words) |
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