The realization and detection of chiral physics with ultracold atomic gases provide a unique path for the exploration of topological phases. Here, we show that the interplay of magnetic field and interacting particles in an extended two-leg ladder leads to rich chiral Bloch dynamics. Considering both the on-site contact interaction and nearest-neighbor interactions, the ground state and Bloch dynamics of the system are studied analytically and numerically. When the system is in the ground state, the threshold and phase diagram for the transition between zero-momentum state and plane-wave state are analytically obtained, showing the nearest-neighbor interactions along the legs and rungs have opposite impact on the ground state transition, providing new opportunity to manipulate the ground state transition. When the ladder is perturbated under an external linear force, chiral dephasing of Bloch oscillations (BOs), i.e. symmetry breaking damped BOs (the damping rate of BOs on one leg is larger than the other), are observed. This chirality is absent for vanishing the magnetic field and atomic interaction. Particularly, the chirality of damped BOs is inversed when the magnetic field (chiral current) is inversed. In addition, the damping of BOs induced by different types of atomic interactions is different, and the strength and damping rate of BOs initialized in different ground states are distinct, offering dynamic ways to detect the different ground states. Furthermore, the persistent chiral Bloch oscillations observed in single particle case is predicted analytically, which is a crucial requirement for observation and application of chiral BOs in nonlinear regime. Our results provide an interesting path towards the exploration of topological atomic superfluids.