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Pacing needed ?
Heart rate 40... showing 1degreee av block in holter ..but asymptomatic..do I need urgent pacemaker dual Chmbr or can rely on drugs ,doctor gave orcibest ..hw long can we delay pacing ?pt is reluctant to do
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Generally we don't do pacing for first degree AV block.  It must be 2 or 3rd degree to get heart rate of 40. Type of pacemaker depends upon age and activity of pt. Dual chamber is better.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.