Treatment is usually only required when a heart block is causing symptoms (symptomatic). This will usually be in cases of:
- Mobitz type 2 second degree heart block
- third degree heart block
Due to the potentially serious nature of symptomatic heart block, you will usually be taken to the nearest hospital immediately.
Transcutaneous pacing (TCP)
Transcutaneous pacing (TCP) is the treatment of choice for symptomatic heart block is. TCP is a way of restoring your normal heartbeat.
During TCP, pads will be applied to your chest. Electrical pulses will then be delivered through the pads and these pulses will correct your heartbeat.
TCP can feel uncomfortable so you may be sedated before the procedure begins. If you are sedated, you will be given medication to make you feel drowsy so that you have little or no awareness of what is going on around you.
Once your heartbeat has been stabilised, a permanent pacemaker may be recommended.
Pacemaker
A pacemaker is a small electrical device that is similar to a battery and can be inserted into one of your veins before being moved next to your heart.
The pacemaker has wires that are attached to your heart and will generate a regular series of pulses to keep your heart beating.
See the Health A-Z topic about Pacemaker insertion for more information about how pacemakers work and are fitted.
