diff --git a/src/convert/MarkdownConverter.ts b/src/convert/MarkdownConverter.ts
index ee02420..08065e2 100644
--- a/src/convert/MarkdownConverter.ts
+++ b/src/convert/MarkdownConverter.ts
@@ -1,38 +1,42 @@
-import { groupByLine } from '../support/groupingUtils';
+import { groupByBlock, groupByLine } from '../support/groupingUtils';
 import Item from '../Item';
 import { Converter } from '../convert';
 import ChangeTracker from '../debug/ChangeTracker';
 import EvaluationTracker from '../debug/EvaluationTracker';
 import LineItemMerger from '../debug/LineItemMerger';
+import { TextType, headlineLevel } from '../text-types';
 
 export default class MarkdownConverter implements Converter {
   convert(items: Item[]) {
     let content = '';
 
-    const itemsByLine = groupByLine(items);
     const lineMerger = new LineItemMerger();
-    itemsByLine.forEach((lineItems) => {
-      const lineItem = lineMerger.merge(new EvaluationTracker(), new ChangeTracker(), ['types'], lineItems);
-      const types = lineItem.data['types'] || [];
-      const itemText = lineItem.data['str'];
-      if (types.includes('H1')) {
-        content += '# ' + itemText + '\n';
-      } else if (types.includes('H2')) {
-        content += '## ' + itemText + '\n';
-      } else if (types.includes('H3')) {
-        content += '### ' + itemText + '\n';
-      } else if (types.includes('H4')) {
-        content += '#### ' + itemText + '\n';
-      } else if (types.includes('H5')) {
-        content += '##### ' + itemText + '\n';
-      } else if (types.includes('H6')) {
-        content += '###### ' + itemText + '\n';
-      } else {
-        content += itemText;
-      }
+    groupByBlock(items).forEach((blockItems) => {
+      const types = blockItems[0].data['types'] || [];
+      groupByLine(blockItems).forEach((lineItems) => {
+        const evaluationTracker = new EvaluationTracker();
+        const changeTracker = new ChangeTracker();
+        const lineItem = lineMerger.merge(evaluationTracker, changeTracker, ['types'], lineItems);
+        const itemText = lineItem.data['str'];
+        content += elementToText(itemText, types[0]);
+      });
       content += '\n';
     });
 
     return content;
   }
 }
+
+function elementToText(text: string, type: TextType) {
+  switch (type) {
+    case 'H1':
+    case 'H2':
+    case 'H3':
+    case 'H4':
+    case 'H5':
+    case 'H6':
+      return '#'.repeat(headlineLevel(type)) + ' ' + text + '\n';
+    default:
+      return text + '\n';
+  }
+}
diff --git a/src/support/groupingUtils.ts b/src/support/groupingUtils.ts
index b0997b2..12e7d22 100644
--- a/src/support/groupingUtils.ts
+++ b/src/support/groupingUtils.ts
@@ -72,6 +72,10 @@ export function groupByPage(items: Item[]): Item[][] {
   return groupBy(items, (item) => item.page);
 }
 
+export function groupByBlock(items: Item[]): Item[][] {
+  return groupByElement(items, 'block');
+}
+
 export function groupByLine(items: Item[]): Item[][] {
   return groupByElement(items, 'line');
 }