Do All Heart Blocks Need Pacemakers?

Do All Heart Blocks Need Pacemakers?

This article discusses two patients, a 44-year-old woman and an 82-year-old man who presented to our clinic with newly diagnosed asymptomatic heart blocks. While newly discovered 2nd degree (type II) and 3rd degree heart blocks in the primary care setting may cause referral to cardiologists for a pacemaker implantation, not all patients with heart blocks need pacemakers. We report 2 patients that were referred to a cardiologist for pacemaker implantation that came to us for a second opinion. The importance of reviewing these indications reinforces the need for health care providers to spend resources and time most efficiently in the face of rising healthcare costs.