Complete AV dissociation, impulses from atria cannot be conducted to ventricles

Drug therapy e.g. beta blockade, fibrosis of conductive tissue, Lyme disease, acute rheumatic fever, aortic valve disease, sarcoidosis, myocarditis, MI, idiopathic

ECG: No association between p-waves and ventricular conduction

Echo: To assess for any structural abnormalities

Stop offending drugs

A temporary pacing wire may be required

Long-term PPM    

Untreated at high risk of sudden cardiac death, once treated prognosis is good

Death, injuries from syncope