Karel Frederik Wenckebach "second degree AV block" and later named the "Wenckebach phenomenon" and reclassified as Mobitz type I block in Mobitz's 1924 paper. A similar phenomenon can also occur in the Sinoatrial node where it gives rise to Type I second degree SA block, and this is also known as a Wenckebach block; the two have distinct features on an ECG however. Wenckebach is credited for describing the median bundle of the heart's conductive system that connects the sinoatrial node to the atrioventricular node. This bundle was named Wenckebach's bundle, and is also known as the middle internodal tract. Wenckebach's bundle is
Sinoatrial block block looks very similar to a sinus arrest. However, a sinus arrest is caused by a failure to form impulses. A third degree block is caused by failure to conduct them. The rhythm is irregular and either normal or slow. It is followed by a long pause that is not a multiple of the P-R interval. The pause ends with a P wave, instead of a junctional escape beat the way a sinus arrest would. Emergency treatment consists of administration of atropine sulfate or transcutaneous pacing. Sinoatrial block A sinoatrial block is a disorder in the normal rhythm of the