Complete heart block treatment

A 20 y/o female admitted for suicidal ideation. Denies ingestion of anything. History of Mobitz II. HR 45-60 dropping to the 30s when sleeping. BPs on the lower end of normal. Patient’s only complaint is dizzy spells a few times a week without syncope and occasional fatigue. All other vitals within normal limits, labs and physical assessment unremarkable. Diagnosis based on ECG was complete heart block. Dual chamber pacemaker placement pending. Any other thoughts on this ECG reading?

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INCOMPLETE A V DISSOCIASION 1ST SINUS BEAT = CONDUCTED NORMALLY 2 " = NOT CONDUCTED FOLLOWED BY NODAL ESCAPE BEAT 3 SINUS BEAT = NOT CONDUCTED & FOLLOWED BY A NODALESCAPE BEAT 4TH SINUS = NOT CONDUCTED & FOLLOWED BY A NODALESCAPE BEAT 5 TH SINUS BEAT = SUPERIMPOSED ON ST SEGMENT 6SINUS BEAT = CONDUCTED NORMALLY 7TH SINUS BEAT =BLOCKED& FOLLOWED BY A NODAL ESCAPE BEAT

Complete AV dissciation. In view of conduction failure not to delay Cardiac i tervention for Pacemaker..good if go for double chamber.

SUGGESTIVE OF COMPLETE HEART BLOCK ADVISABLE... PACEMAKER OR ICD... AND.... WITHDRAWAL. OF. OFFENDING. DRUG......IF. ANY...

Yes CHB PACE MAKER IS CHOICE AV DISSOCIATION SEEN

Thanx dr Sachin Kale
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Complete AV dissociation Needs pacing urgently

Complete heart block. Do needful at earliest.

Thanks Dr Dinesh Gupta
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Complete AV dissciation Pacemarker ICD

COMPLETE A V DISSOCIAN

CHB go for PACEMAKER

COMPLETE HEART BLOCK

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