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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.
Medical treatment. Heart attack treatment. Treatment for a heart attack is aimed at increasing blood flow by opening arteries blocked or narrowed by a blood clot. Drugs used to achieve this include aspirin and clot-busting (thrombolytic) drugs. Other drugs can be used to slow the heart rate, which decreases the workload of the heart and reduces pain. Angioplasty is a way of unblocking an artery. Angiography is done first to locate narrowing or blockages.