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Intermittently non-conducted P waves not preceded by prolongation of the PR interval and not followed by PR shortening. This finding is suggestive of distal his-perkinje pathology. refl.in/jp

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Mobitz type II atrioventricular block is one of the active cardiac conditions for which the AHA/ACC guidelines suggest elective surgery should be delayed and the condition evaluated and optimised. Active cardiac conditions - refl.in/jo AHA/ACC Flowchart - refl.in/aha from refl.in/4s

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