A question about vagal manoeuvres

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drcanucktikka

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10+ Year Member
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Hey guys,

I am reading about how to diffrentiate b/w wenckebach vs mobitz (2:1 AV block). The textbook says this:

Vagal manoeuvres -> increase psymp activity -> inhibit AV node -> a 2:1 AV block wenckebach becomes a 4:3 block meanwhile a mobtiz doesn't change much.

My question is this:

why does increasing parasympathic activity make a wenckebach 2:1 AV block into a 4:3 AV block?