Abstract
Complete heart block (CHB) or third-degree heart block is the most clinically significant AV block which sometime needs urgent intervention to avoid life-threatening condition. It is very important to identify the causes of CHB and treat them accordingly. Twelve-lead EKG can easily confirm the diagnosis of CHB and also provide the information regarding ventricular rate which can differentiate between junctional rhythm vs ventricular escape rhythm. Cardiology consultation should take place as early as possible to determine the need for pacemaker placement, although an immediate intervention may be needed if ventricular rate stays less than 40 bpm by placing a temporary transcutaneous or transvenous pacemaker.
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Shah, T. (2017). ECG III. In: Raj, T. (eds) Data Interpretation in Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-55862-2_19
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DOI: https://doi.org/10.1007/978-3-319-55862-2_19
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