If no symptoms present, monitor closely and cardiology may need to be consulted for further evaluation. Therefore, the patient is more likely to have symptoms with this rhythm. With this rhythm the ventricular rate is on the slower side, which can affect cardiac output. This rhythm is worse than Second Degree Type I (Mobitz I/Wenckebach) and may progress to a third degree heart block. Treatment for Second-Degree Type II Heart Block Myocardial infarction with anterior wall involvement, advanced coronary artery disease, damage to the structures that make up the electrical conduction system, medications that slow AV conduction like calcium channel blockers, Digoxin, beta blockers etc.
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