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Sinus Rhythm means you heart is beating at a steady consistent rate A first degree AV block means that the electrical signal that starts in the Atria (upper chambers) of the heart and is relayed to the Ventricles (lower chambers) of the heart, is taking too long to get there It's sometimes referred to on the EKG as a prolonged PR timeJul 16, 09 · I will help you with your question Overall, your heart is beating correctly (sinus rhythm) with some additional beats (premature atrial complexes) these are common and are not worrisome The right bundle block, left posterior fascicular block, and bifascicular do show that there is some damage or abnormality of the conduction system of the heart11 conduction between the atrium and His bundle at right atrial pacing cycle lengths of less Figure 3 Atrial flutter with 21 atrioventricular block and left bundle branch block aberration was induced in Patient 4, who had been referred for runs of nonsustained ventricular Alternating Bundle Branch B