AV with slow ventricular response.
The rate is 40BPM.
In the good old days this was digitalis toxicity until proven otherwise.
The clue is Bifascicular block.
Many cardiologists are reluctant to call this complete heart block as there is no AV dissociation.
Don’t be scared to call this complete heart block because that is what it is!!
Permanent pacing required.
Assoc Prof Harry Mond
Dr Harry Mond
CardioScan Medical Director
In 49+ years as a practicing cardiologist, Assoc Prof Harry Mond has published 260+ published manuscripts & books. A co-founder of Cardiac Monitoring Service, he remains Medical Director and oversees 500K+ heart studies each year.
Download his full profile here.