About Heart Block

Heart block, also known as atrioventricular (AV) block, is a condition characterized by impaired electrical conduction between the heart's upper and lower chambers (atria and ventricles). This disruption can cause a delay or complete blockage of electrical signals, leading to abnormal heart rhythms and potential complications. Heart block can range from mild to severe, depending on the degree of conduction impairment. Symptoms may vary widely, including dizziness, fainting, chest pain, fatigue, and shortness of breath. In some cases, heart block may be asymptomatic and only detected during routine medical evaluations or electrocardiogram (ECG) testing. Treatment for heart block depends on its severity and symptoms, ranging from close monitoring with no intervention for mild cases to medications, pacemaker implantation, or other interventions for more severe forms. Prompt diagnosis and appropriate management are essential in preventing complications and optimizing heart health in individuals with heart block.

Symptoms Of  Heart Block 

  • Fatigue: Unexplained tiredness or weakness.
  • Dizziness: Feeling lightheaded or faint.
  • Fainting (Syncope): Sudden loss of consciousness.
  • Shortness of Breath: Difficulty breathing, especially during exertion.
  • Chest Pain: Discomfort or pain in the chest.
  • Irregular Heartbeat (Arrhythmia): Abnormal heart rhythms.
  • Palpitations: Awareness of rapid, fluttering, or pounding heartbeats.

Causes Of Heart Block 

  • Ischemic Heart Disease: Reduced blood flow to the heart muscle.
  • Myocardial Infarction (Heart Attack): Damaging heart tissue.
  • Aging: Degeneration of the heart's electrical system.
  • Cardiomyopathy: Heart muscle diseases affecting electrical pathways.
  • Congenital Heart Defects: Present from birth.
  • Infections: Inflammation impacting the heart's electrical conduction.
  • Certain Medications: Side effects of drugs affecting heart function.
  • Autoimmune Disorders: Conditions causing the immune system to attack the heart.
  • Hypertension (High Blood Pressure): Straining the heart's electrical system.
  • Idiopathic Causes: Some cases have no apparent cause.

Diagnosis Of Heart Block  

  • Electrocardiogram (ECG or EKG): Recording the heart's electrical activity to identify irregularities.
  • Holter Monitor: Continuous ECG monitoring over 24 hours or longer for intermittent abnormalities.
  • Event Monitor: Portable device for recording sporadic symptoms.
  • Echocardiogram: Imaging test to assess heart structure and function.
  • Exercise Stress Test: Evaluating heart function during physical activity.
  • Electrophysiology Study: Invasive procedure mapping the heart's electrical pathways.

Treatment Of Heart Block 
Treatment for heart block aims to manage symptoms, restore normal heart rhythm, and address underlying causes. Approaches vary based on the severity of the block and associated symptoms:

  • Observation: Asymptomatic cases or those with minimal symptoms may require close monitoring without immediate intervention.
  • Medications: Prescribing medications like atropine, isoproterenol, or pacemaker insertion drugs to regulate heart rate and improve conduction.
  • Pacemaker Implantation: A pacemaker is implanted to regulate and coordinate heartbeats for significant heart block, especially if symptoms persist.
  • Lifestyle Modifications: Managing contributing factors like hypertension, coronary artery disease, or medication adjustments.
  • Electrophysiology Study (EPS): Invasive procedure to identify and treat specific conduction abnormalities.
  • AV Node Ablation: In some cases, selectively disrupt the atrioventricular (AV) node's function, allowing a pacemaker to control the heart's rhythm.

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Frequently Asked Questions

Heart block can result from various factors, including age-related degeneration of the heart's electrical system, heart diseases such as myocardial infarction (heart attack), cardiomyopathy, heart valve disorders, inflammation of the heart muscle (myocarditis), congenital heart defects, and certain medications.

Heart block is categorized into three degrees based on the severity of conduction impairment. First-degree heart block delays electrical signals but still allows them to pass through. Second-degree heart block includes intermittent blockages of signals between the atria and ventricles. Third-degree or complete heart block signifies a complete interruption of electrical signals between the atria and ventricles.

Symptoms of heart block can vary depending on its severity but may include dizziness, fainting (syncope), chest pain, fatigue, shortness of breath, palpitations, and in severe cases, sudden cardiac arrest.

Diagnosis of heart block typically involves an electrocardiogram (ECG or EKG) to assess the heart's electrical activity. Additional tests such as Holter monitoring, event monitoring, echocardiogram, and stress tests may be conducted to evaluate heart function and identify underlying causes.

Treatment for heart block depends on its severity and symptoms. Mild cases may require close monitoring with no intervention, while more severe forms may necessitate medications to regulate heart rate and rhythm. Pacemaker implantation is often recommended for individuals with advanced heart block to maintain a regular heartbeat and prevent complications like syncope or sudden cardiac arrest.

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