Does intermittent second-degree atrioventricular block prevent walking?

Sep 20, 2024 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

In general, intermittent second-degree conduction block refers to intermittent second-degree atrioventricular (AV) block. Walking may not be advisable with intermittent second-degree AV block. If the block is severe, walking could increase cardiac workload and raise the risk of cardiac arrest. However, if the intermittent second-degree AV block is mild and no significant symptoms are present, light walking exercise may be appropriate.

Generally, intermittent second-degree conduction block refers to intermittent second-degree atrioventricular (AV) block. Whether a person with intermittent second-degree AV block can walk depends on the severity of their condition. If the intermittent second-degree AV block is severe, walking is usually not recommended. However, if the condition is mild and there are no significant symptoms, light walking may be acceptable.

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

If the patient's condition is mild, they may be asymptomatic or experience only brief episodes of palpitations or a sensation of skipped heartbeats. In these cases, walking is generally safe and does not significantly impact daily activities. However, it is important for patients to follow their doctor’s advice and undergo regular electrocardiogram (ECG) monitoring to detect and manage any cardiac issues promptly.

The patient should eat more fresh vegetables and fruits, consume adequate amounts of high-quality protein, and limit intake of high-fat and high-sodium foods. Additionally, irritants such as chili peppers, Sichuan pepper, coffee, and other stimulating foods and beverages should be avoided.

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