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2nd Degree Heart Block : Natural Solutions

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When it comes to heart health, some conditions fly under the radar yet deserve our full attention. Heart block is one such condition. Heart block, also called atrioventricular (AV) block, is a heart condition that causes the heart to beat abnormally and more slowly than it should. 

Heart block can occur in the first, second, or third degree, depending on the severity of the block. While not as common as other arrhythmias, second-degree heart block is important to understand because it involves the heart beating in an unpredictable (and abnormal) rhythm. 

What is Second-Degree Heart Block?

In simplest terms, second-degree heart block is like a miscommunication in the heart’s electrical system. The heart relies on electrical signals for its beats. Those beats begin in the upper chambers of the heart (atria) and move down the heart to the lower chambers (ventricles). 

For those with second-degree heart block, these signals sometimes don’t make it all the way through the heart. As a result, not every signal prompts a heartbeat like it should. As the name suggests, the electrical signal becomes blocked in the heart. 

There are two key types of 2nd degree heart blocks:

  • Mobitz Type I (Wenckebach): The electrical signals slow down progressively until a beat is skipped, and then the cycle repeats.
  • Mobitz Type II: Here, the heart randomly skips beats without any warning or pattern.

How Does Second-Degree Heart Block Affect You?

The symptoms of second-degree heart block can vary. Some people might experience dizziness, fatigue, or even fainting spells, primarily because their heart isn’t pumping as consistently as it should. Others might not notice anything unusual. But whether you feel symptoms or not, it’s a condition that shouldn’t be ignored.

Generally speaking, Mobitz Type I is less serious and can sometimes occur in seemingly healthy individuals. Mobitz Type II, on the other hand, is typically more concerning and could be a sign of more significant heart issues. 

What Causes Second-Degree Heart Block?

Second-degree heart block can arise from various factors:

  • Age-related Changes: As we age, the heart’s electrical system can wear down. 
  • Heart Disease: Conditions like coronary artery disease or heart attack can damage the heart’s electrical pathways.
  • Certain Medications: Ironically, drugs for high blood pressure or heart conditions can contribute to heart block.
  • Congenital Heart Defects: Some are born with a predisposition to heart block.

Treating Second-Degree Heart Block

The conventional treatment landscape for second-degree heart block is diverse:

  • Monitoring: Regular monitoring may be sufficient for mild cases, especially Mobitz Type I.
  • Medication Adjustments: If medications are contributing to the condition, a change in prescription can be effective.
  • Pacemaker: In more severe cases, particularly Mobitz Type II, implanting a pacemaker can regulate the heart’s rhythm.

Treating second-degree heart block isn’t just about addressing the symptoms; it’s about getting to the root of the problem. This could involve examining past heart damage or factors like diet, stress, and toxin exposure. 

Understanding why your heart is experiencing a heart block involves researching your health history and obtaining lab testing. It may also involve wearing a Zio Patch heart rate monitor

Did your heart obtain damage in the past? By identifying the root cause, your heart block may be reversible. The underlying reason for heart damage is nearly always inflammation, which can be caused by: 

  • Toxin exposure, such as mold, heavy metals, or air pollution
  • Poor diet, such as exposure to chemicals and pesticides in food
  • Excessive stress and an imbalanced nervous system 
  • Living a sedentary lifestyle 
  • Inadequate rest/sleep 
  • Overuse of alcohol, drugs, or even pharmaceuticals

The Triad of Heart Wellness: Eat Well, Live Well, Think Well

Adopting a holistic approach to heart health is crucial, and the best way to treat second-degree heart block is to address the root causes that put the heart in a compromised condition in the first place.

  • Eat Well: Embrace a heart-friendly diet. Think organic vegetables, grass-fed meat and organs, wild seafood, nuts, and seeds. Avoid processed foods, gluten, sugar, and vegetable seed oils.
  • Live Well: Regular exercise, quality sleep, chiropractic care, avoiding/removing toxic exposures, and steering clear of electrosmog all help the heart. 
  • Think Well: Managing stress through relaxation techniques like meditation or yoga, spending time with loved ones, and taking an active approach to your health, can all positively impact your heart’s health. 

Next Steps

If you suspect you might have second-degree heart block or are experiencing symptoms like dizziness or fainting, the experienced team at NHD is here to help. We’ve assisted countless other patients in similar situations. 

For those seeking more personalized guidance, our team offers a complimentary 20-minute consultation. This preliminary chat is a step towards understanding and proactively managing your heart health. Remember, your heart’s rhythm tells a unique story, and tuning into it is essential for a healthy life journey.


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About Dr. Keith Smigiel NP, DC

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Dr. Keith Smigiel is a regenerative medicine physician and pain management specialist. He takes an integrative approach to medicine, focusing on customized solutions tailored to individual needs. Using advanced, non-surgical treatments, Dr. Smigiel stimulates your body’s ability to naturally heal itself.

Dr. Smigiel helps people suffering from conditions such as chronic pain and erectile dysfunction, to hair loss and weight gain. Combining treatments such as PRP Therapy, Ozone, Neural Prolotherapy, and IV Infusions with functional rehabilitation, he helps you look and feel better.

He heals the body, instead of just treating the symptoms!

With his professional qualifications as a certified family nurse practitioner, a doctor of chiropractic, and a fellow of the International Academy of Medical Acupuncture, Dr. Smigiel offers patients comprehensive care from a broad perspective of conventional and alternative medicine. He also has extensive experience in functional rehabilitation and chronic pain management.

Dr. Smigiel is married to Angela and has two children, Sophia and Larz. When he’s not busy helping patients, he enjoys hiking, mountain biking, motocross, and boating.

About Dr. James Kneller, M.D., Ph.D., FHRS

Dr. James Kneller, M.D., Ph.D., FHRS

Dr. James Kneller is one of the nation’s leading heart rhythm specialists. Dr. Kneller is certified by the American Board of Internal Medicine (ABIM) in Clinical Cardiac Electrophysiology, Cardiovascular Disease, and Internal Medicine.

As a Fellow of the Heart Rhythm Society (FHRS) and Certified Cardiac Device Specialist (CCDS), Kneller provides comprehensive patient care, combining best medical practice with invasive procedures using state-of-the-art technologies to treat heart rhythm disorders.

Beyond guideline-directed therapies, Kneller is passionate about optimized personal health. With a deep interest in complimentary alternative medicine (CAM), he strives to reduce the need for pharmaceuticals, invasive procedures, and exposure to harmful radiation. With Natural Heart Doctor, he strives to help each and every client to Live Well, Eat Well, and Think Well to attain their 100-year heart!

About Dr. Lauren Lattanza NMD, FACC

Dr. Lattanza Office Visit with Patient

As a Naturopathic Physician, I am trained to treat the whole person and get to the root cause of disease.

I went to Arizona State University where I graduated with a bachelor’s degree in psychology with a depth in physiology and minor in Spanish. After my undergraduate degree I was working on prerequisite classes towards medical school, which is when I came to learn that my values identified best with the principles of naturopathic medicine. I knew that I wanted to help patients identify the causes of disease and be able to offer treatments which would improve their health rather than simply treating symptoms.

I dedicated the next 4 years to the Southwest College of Naturopathic Medicine in Tempe, Arizona where I attained my Doctorate of Naturopathic Medicine. I served as Class President all 4 years, Board of Trustees – Student Trustee, spoke as the Club President for our branch of Toastmasters, and was voted by my peers and attending physicians to earn the Outstanding Leadership Award for the Class of 2020. Throughout medical school I took it upon myself to work alongside MDs, DOs, chiropractors, and functional medicine practitioners in addition to naturopathic physicians.

As a Spanish speaking student, I was able to volunteer with community clinics around Phoenix and provide free healthcare to low-income families. Due to this combined exposure, I came to find my passion in treating cardiometabolic and digestive disorders that are all too common, yet largely preventable. I took the opportunity to learn the broad spectrum of healthcare so I can ensure that I am able to provide my patients with the best options.

About Dr. Jack Wolfson DO, FACC

Dr. Wolfson Office Visit with Patient

Dr. Jack Wolfson is a board-certified cardiologist, Amazon best-selling author, husband, father, and the nation’s #1 Natural Heart Doctor.

For more than two decades, more than one million people have enjoyed the warmth, compassion, and transformational power of his natural heart health courses and events.

Dr. Wolfson is the founder of Natural Heart Doctor Scottsdale, his heart health practice in Arizona, and Natural Heart Doctor, an online resource center with natural health information. Doctors from across the globe reach out to Dr. Wolfson for training and education in holistic health practices.

He has been named one of America’s Top Functional Medicine Doctors and is a five-time winner of the Natural Choice Awards as a holistic M.D. Dr. Wolfson’s work has been covered by more than 100 media outlets, including NBC, CNN, and the Washington Post. His book “The Paleo Cardiologist: The Natural Way to Heart Health” was an Amazon #1 best-seller.

Dr. Wolfson and his wife Heather have four children and are committed to making the world a better place to live. They provide for those in need (including animals) and support natural health causes through their philanthropic efforts.


Our chiropractor is an expert at adjustments and holistic chiropractic care and works closely in conjunction with the other health care experts at Natural Heart Doctor.

Call (480) 535-6844 for details and scheduling.

IV Therapy

We use specially formulated natural vitamins and minerals that are injected into a vein to prevent or treat dehydration. Ideal for people in Arizona.

Call (480) 535-6844 for details and scheduling.


Stimulate your body’s natural healing abilities and promote physical and emotional well-being with acupuncture at Natural Heart Doctor.

Call (480) 535-6844 for details and scheduling.

Health Coaching

Our health coaches use evidence based skillful conversation, clinical interventions, and strategies to engage you actively and safely in health behavior changes.

Call (480) 535-6844 for details and scheduling.

Cardio Tests

We use the most advanced testing in the world to assess heart health and to identify the root cause of your health issues.

Call (480) 535-6844 for details and scheduling.

Office Visits

Schedule an office visit with one of our cardiologists, holistic physicians, chiropractor, or health coaches.

Call (480) 535-6844 for details and scheduling.

Frequently Asked Questions

I’d like to receive an online second opinion from Natural Heart Doctor. What do I do next?

You can initiate a second opinion online through our website at any time. To begin, select the team member you’d like to speak with and open an account.

Click here for cardiologist Dr. Jack Wolfson.

Naturopathic Medical Doctor Dr. Lauren Lattanza. Get details.

Naturopathic Medical Doctor Dr. Tonia Rainier. Get details.

Click here for  Natural Heart Doctor Health Coach.

Alternatively, you can email health@naturalheartdoctor.com. A member of our care team will help guide you through the process of starting a second opinion.

What is the cost of a Natural Heart Doctor Online Second Opinion?

The cost for most second opinions varies by team member. This fee includes information collection, a phone or video consultation, a second opinion from a Natural Heart Doctor specialist and guidance throughout the process from your personal Care Team at Natural Heart Doctor.

Cardiologist Dr. Jack Wolfson’s Second Opinion Fee is $1500.

Holistic Physician’s Dr. Lauren Lattanza’s Second Opinion Fee is $250.

Naturopathic Physician Dr. Tonia Rainier’s Second Opinion Fee is $250.

Note: We apply the Online Second Opinion Call fee as a credit to any future consultations with Natural Heart Doctor, should you choose them.

Will my insurance cover the cost of a Natural Heart Doctor Online Second Opinion?

Most likely, no. Most health plans do not cover online second opinions or consultations. You are responsible for the cost of our second opinion. Natural Heart Doctor cannot file a claim with your insurance carrier, nor can we provide a procedure (CPT) code for this service.

What is the timeline to receive an online second opinion?

We do our best to schedule your second opinion as quickly as possible. Typically, it takes 5 to 7 business days after your information has been collected to receive your phone or video online second opinion.

What information do you need in advance of our call?

Our office will send you a short questionnaire to complete and return. We DO NOT need your complete medical records.

How many questions can I ask the expert during our call?

You may ask a maximum of five questions. This is to ensure that the expert has sufficient time to devote to each question. All questions must be finalized before your online meeting.

What should I expect to receive once my second opinion is complete?

You will receive a summary of our discussion along with our second opinion. The second opinion will be in written form. After you have reviewed the second opinion, a Natural Heart Doctor clinician will follow up with you by phone to address general medical questions about the information provided in the second opinion.

What if I have follow-up questions for the expert after I have reviewed my second opinion?

If you have a clarifying question about an expert’s response to one of the questions in your second opinion, and the Natural Heart Doctor clinician is unable to address it, then you may request a follow up session for an additional fee. 

Is my medical and payment information secure?

Natural Heart Doctor is strongly committed to protecting the privacy and security of all our patients. Our website meets all federal requirements for protecting personal health information under the Health Insurance Portability and Accountability Act (HIPAA). All financial transactions are processed by Natural Heart Doctor securely using industry standard payment processing tools.

I would rather visit Natural Heart Doctor for an in-person appointment. What should I do next?

If you would prefer an in-person appointment at Natural Heart Doctor instead of an online second opinion, please call (480) 535-6844 for details and scheduling.

Can I schedule a follow up appointment with the specialist who provided my online second opinion?

Yes, we’re happy to help you on an extended basis. Our clinician can discuss options with you when presenting our second opinion summary.