Peri-arrest bradycardias

2nd-degree heart block

Mobitz type I (Wenckebach) the PR interval gets progressively longer until a P wave fails to conduct.
 Mobitz type II constant PR but occasionally a P wave fails to conduct. This may be in a regular pattern (e.g.
2:1 or 3:1 block) or irregular.

3rd-degree heart block (complete heart block)

Atrial activity is not conducted to the ventricles. The atria and ventricles work independently of each other (P
waves and QRS complexes are not related to each other).
Sick sinus syndrome

Due to ischaemia or fibrosis/degeneration of the SA node. Resulting in sinus pauses ( > 2 s) or sinus arrest.
Junctional or other escape rhythms (e.g. AF) may emerge, often known as tachy-brady syndrome. Patients
ultimately need a pacemaker to manage the bradyarrhythmias and medical therapy (e.g. -blockers) to manage
the tachyarrhythmias.