A second degree, Mobitz II atrioventricular (AV) block indicates "intermittent non-conducted P waves ('dropped' QRS complexes) without progressive prolongation of the PR interval."[2]
Table 1: ECG Characteristics[3]
Clinical Significance[2]
2nd degree, Mobitz II heart block is commonly associated with haemodynamic compromise, severe bradycardia, and advancement to 3rd degree heart block (complete heart block).
Onset of haemodynammic instability can be abrupt and unanticipated and may trigger syncope or sudden cardiac death.