Does intermittent second-degree atrioventricular block prevent walking?

Intermittent second-degree conduction block usually refers to intermittent second-degree atrioventricular (AV) block. Whether a patient can walk depends on the severity of the condition. Specific details are as follows:

1. Able to walk

Intermittent second-degree AV block is a type of abnormality in the heart's conduction system, characterized by irregular heart rhythm that may lead to bradycardia or transient cardiac pauses. If the condition is mild, patients may be asymptomatic or experience only brief palpitations or sensations of skipped heartbeats. In such cases, walking is generally possible and daily activities are not significantly affected. However, it is important for patients to follow their doctor’s advice, undergo regular electrocardiogram (ECG) monitoring to detect and manage cardiac issues promptly, and control the intensity and duration of physical activity.

2. Unable to walk

If intermittent second-degree AV block is severe, it may lead to cardiac arrest, posing a life-threatening risk. In such cases, emergency treatment—such as cardiopulmonary resuscitation (CPR) or implantation of a cardiac pacemaker—may be required. Walking could increase the cardiac workload and elevate the risk of cardiac arrest; therefore, physical activity like walking is typically not advised.

Patients are advised to seek timely medical attention when experiencing discomfort and to receive standardized treatment under a physician's guidance, which helps promote recovery.