Heart block

Also called Atrioventricular block or AV block

Heart block is when the electrical signals that tell the heart to beat are slowed down or blocked as they pass through the heart. There are three degrees. First-degree heart block usually causes no symptoms. Second and third-degree heart block can make the heart beat slowly or irregularly.

Last updated Nov 9, 2026

What it is

It can be caused by ageing, heart attack, other heart conditions or some medicines, and some babies are born with it.

Mild heart block often only needs monitoring. More severe heart block is usually treated with a pacemaker.

Common signs

  • Often no symptoms
  • Dizziness or fainting
  • Tiredness
  • Shortness of breath
  • Chest pain

How it is usually diagnosed

  • ECG
  • Heart rhythm monitoring over 24 hours or longer
  • Echocardiogram

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • ECGs and Holter monitor reports
  • Cardiology letters
  • Pacemaker details and check results
  • A list of medicines

Questions to ask your doctor

  • Which degree of heart block do I have?
  • Will I need a pacemaker?
  • Is it safe to drive?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Fainting, a very slow heartbeat with dizziness, or chest pain: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources