Bradycardia (Deep Dive R34)

Asymptomatic Bradycardia – usually don’t treat



Symptomatic Stable Bradycardia – atropine, further workup



Symptomatic Unstable Bradycardia – SIMULTANEOUS treatment with medications and electricity



* Meds: Trial of atropine, then either epinephrine, dopeamine, or isoproterenol* Electricity: Transcutaneous Pace –> TVP



DDX of Bradycardia – BRADIE



Blocks (av blocks)



Reduced vital signs (hypoxemia, hypothermia, hypoglycemia)



Acs (acute coronary syndrome/ischemia)



Drugs (beta blocker, calcium channel blocker, digoxin, organophosphate)



Infection/Inc ICP (Lyme, myocarditis // cushings reflex)



Electrolyte/Endocrine (hyperkalemia, hypermagnesemia, hypocalcemia // myxedema coma)