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Treatment depends on the type of heart block you have. If you have first-degree heart block, you may not need treatment. If you have second-degree heart block, you may need a pacemaker. A pacemaker is a small device that's placed under the skin of your chest or abdomen. This device uses electrical pulses to prompt the heart to beat at a normal rate. If you have third-degree heart block, you will need a pacemaker.
Heart block refers to an abnormality in the way electricity passes through the normal electrical pathways of the heart. The abnormality blocks the electrical impulse from continuing through the normal pathways and usually results in a slower heart rate.he blocking of the impulse can come and go, resulting in dropped heartbeats.. A second-degree type II block may progress to complete or third-degree heart block. Second-degree heart block can be categorized into two types: 1  Mobitz type I block (also called Wenckebach) usually occurs in the AV node.