You patient has a complete heart block (third degree AV block). What do you do next?
Regardless of the symptoms, the implantation of a cardiac pacemaker is indicated, and patients should be transferred to an intensive care unit, as there is a risk of hemodynamically relevant bradycardia or even asystole. This is especially true for patients whose heart show structural disease, such as ischemic cardiomyopathy or severe aortic stenosis.
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