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Heart rhythm

Heart block: symptoms and rhythm assessment

What heart block means, and how it differs from an artery blockage.

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The electrical pathway of the heart

Heart block describes a problem with the passage of electrical signals that coordinate the heartbeat. It is different from a blockage in a coronary artery. The seriousness depends on the type and its effect on the heart rate.

Symptoms that deserve assessment

A slow heartbeat may be associated with tiredness, dizziness or fainting. Some people have no symptoms. These concerns can have several causes and need assessment rather than self-diagnosis.

How the rhythm is assessed

An ECG and, in some cases, longer-term rhythm monitoring can help identify the problem. Tell your clinician about medicines, when symptoms happen and any previous episodes of fainting.

Treatment is individual

Some findings are monitored; others need treatment, which may include a pacemaker. Your cardiologist explains the type of block, the options and follow-up. Collapse or severe associated symptoms require emergency care.

About this guide

General patient information, prepared from practice information and the references below. It does not replace a consultation, diagnosis or your hospital’s instructions.

For a possible medical emergency

New or severe chest pain, severe breathing difficulty or collapse needs immediate emergency care. Call 112 in India. Do not wait for an appointment or a message reply. Do not drive yourself.

Frequently asked questions

A few questions, answered.

General answers to support your discussion with the treating team.

Have another question?

Further reading: NHS: heart rhythm problems

Is heart block the same as a blocked artery?

No. Heart block concerns the electrical signals coordinating the heartbeat. Coronary artery narrowing affects the blood supply to heart muscle.

Can heart block occur without symptoms?

Yes. Its significance depends on the type and effect on heart rate. An ECG and sometimes longer monitoring help assess it.

Does everyone with heart block need a pacemaker?

No. Some findings are monitored and others need treatment. The decision depends on the rhythm diagnosis, symptoms and individual circumstances.

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