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Atropine is an anticholinergic medication that increases heart rate by blocking vagal effects on the heart. In complete heart block (third-degree AV block), the electrical signals do not pass from the atria to the ventricles, leading to dissociation between the two. Since atropine primarily affects the atrial conduction and the blockage is at the AV node, it is ineffective in restoring normal heart rhythm or rate. Therefore, it cannot be used to treat complete heart block, and other interventions like pacing are necessary.
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