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

A medical device called a pacemaker is used to treat third-degree heart block and some cases of second-degree heart block. This device uses electrical pulses to prompt the heart to beat at a normal rate. Pacemakers typically are not used to treat first-degree heart block.

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

CHB go for TPI first and start isoprenaline infusion and wait for 48hours and rule out any drug intoxication as well do gastric lavage. If condition doesnot improves do PPI.

COMPLETE HEART BLOCK

CHB Go to Pacemaker

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

Complete heart block. Do needful at earliest.

Thanks Dr Dinesh Gupta
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Severe bradycardia Pr long 1 st degree av block for pace maker

Yes CHB PACE MAKER IS CHOICE AV DISSOCIATION SEEN

Thanx dr Sachin Kale
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