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Dr. Subroto Kumar Datta | Interventional Cardiologist in Delhi - Manipal Hospitals

Dr. Col (Prof) Subroto Kumar Datta

Consultant- Interventional Cardiology and Electrophysiology

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Dr. Subroto Kumar Datta | Interventional Cardiologist in Delhi - Manipal Hospitals
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Dr. Col (Prof) Subroto Kumar Datta

Consultant- Interventional Cardiology and Electrophysiology

Manipal Hospitals, Delhi

Types of Heart Block and How Electrophysiologists Manage Them

Posted On: Feb 24, 2025
blogs read 4 Min Read
Heart block types and treatment

Heart blocks are disruptions in the electrical signals that control heartbeats, leading to slow, irregular, or even absent heart rhythms. Electrophysiology is a specialized field of cardiology that studies and treats these electrical issues. In this blog, we will explore the types of heart blocks, how they are managed, and the role of cardiac electrophysiology in diagnosing and treating them. We'll also answer common questions about the process to provide a better understanding of available treatment options.

 

Understanding Heart Blocks: What Happens to the Heart’s Electrical System?

The heart’s electrical system controls the rate and rhythm of heartbeats. When these electrical impulses are delayed or blocked, a heart block occurs. Electrophysiology of the heart focuses on understanding these disruptions to effectively diagnose and manage heart rhythm disorders.

Types of Heart Block

Heart blocks are categorized based on severity:

Heart block types and treatment

1. First-Degree Heart Block

This type involves a mild delay in the electrical signal, but all impulses still reach the heart’s ventricles. It often presents with no symptoms and typically doesn’t require treatment unless associated with other heart conditions.

2. Second-Degree Heart Block

There are two subtypes:

  • Mobitz Type I (Wenckebach): Electrical signals become slower and eventually fail to reach the ventricles. Symptoms can include dizziness or lightheadedness.

  • Mobitz Type II: A more serious condition where some signals fail to reach the ventricles, leading to missed beats. It often requires a pacemaker.

3. Third-degree (Complete) Heart Block

This is the most severe form. No electrical signals pass from the atria to the ventricles, causing slow or irregular heartbeats. Immediate treatment with a pacemaker is usually required.

Heart Block Type

Description

Common Treatment

First-Degree Heart Block

Mild delay in electrical signals

Monitoring or lifestyle changes

Second-Degree Mobitz Type I

Signals slow and eventually stop

May need medication or a pacemaker

Second-Degree Mobitz Type II

Some signals fail to reach ventricles

Pacemaker

Third-Degree Heart Block

No signals pass to ventricles

Immediate pacemaker

More Reads: Cardiovascular Diseases And Their Treatment

Symptoms of Heart Block: When to Seek Help

Common symptoms of heart blocks include:

  • Dizziness or lightheadedness

  • Fatigue

  • Chest pain 

  • Fainting spells (syncope)

If you experience any of these symptoms, it is essential to seek immediate medical attention. Manipal Hospital Delhi’s cardiology team is experienced in diagnosing and managing heartblocks.

Diagnosing Heart Block: The Role of Electrophysiology Tests

Electrophysiology tests are critical for diagnosing heartblocks. These tests involve monitoring electrical signals within the heart to pinpoint the location and severity of the block.

Heart block types and treatment

Diagnostic Tools Used:

Diagnostic Tool

Purpose

Electrocardiogram (ECG)

Records electrical activity of the heart

Holter Monitor

Captures irregular rhythms over 24-48 hours

Stress Test

Measures heart’s response to exertion

At Manipal Hospital Delhi, our advanced diagnostic facilities and experienced electrophysiologists ensure accurate diagnosis and effective treatment.

How Electrophysiologists Manage Heart Blocks

Electrophysiology procedures vary based on the severity of the heart block:

  • Mild Heart Blocks (First-Degree)

Lifestyle modifications and regular monitoring are often sufficient.

  • Moderate Heart Blocks (Second-Degree Mobitz I)

May require medications or a pacemaker if symptoms are significant.

  • Severe Heart Blocks (Second-Degree Mobitz II and Third-Degree)

A pacemaker is the standard treatment. Pacemakers regulate the heart’s rhythm and prevent dangerous slow heartbeats.

Manipal Hospital Delhi offers comprehensive electrophysiology of the heart services, including pacemaker implantation and management.

More Reads: Warning Signs and Symptoms of Congestive Heart Failure

Pacemakers: A Lifesaving Solution

Heart block types and treatment

Pacemakers are small devices implanted under the skin that send electrical impulses to the heart to maintain a regular rhythm. They are life-changing for patients with severe heart blocks.

Innovations in Cardiac Electrophysiology

Advancements in cardiac electrophysiology have led to innovations like leadless pacemakers, remote monitoring, and AI-based rhythm detection. Manipal Hospital Delhi stays at the forefront of these advancements to provide the best possible care.

Conclusion

Heart blocks can range from mild to life-threatening, but with the expertise of cardiac electrophysiology, effective treatments are available. At Manipal Hospital Delhi, our team of experienced electrophysiologists uses advanced diagnostic tools and treatments to provide comprehensive care for patients with heartblocks. If you or a loved one are experiencing symptoms, don’t delay seeking care. 

Contact Manipal Hospital Delhi today to schedule an appointment and take the first step toward better heart health.

FAQ's

Electrophysiology is the study of the heart’s electrical system and rhythm disorders. It plays a critical role in diagnosing and managing arrhythmias and heart blocks.

The electrophysiology test cost varies based on the hospital and specific tests conducted. Manipal Hospital Delhi provides transparent pricing and affordable care.

An electrophysiology procedure involves inserting catheters into the heart to map its electrical activity. It helps pinpoint arrhythmias and guides treatment decisions.

Most electrophysiology tests take 30 minutes. Your doctor will provide specific instructions and details.

Mild heartblocks may not require a pacemaker. Your cardiologist will recommend treatment based on the severity and symptoms.

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