Bradycardia Flashcards

1
Q

What is the definition of bradycardia

A

Heart rate <60 bpm

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2
Q

What can cause bradycardia

A

Sinus/AV nodal disease
BB/CCB
Electrolyte abnormalities
Hypothyroid

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3
Q

What are the features of bradycardia

A

Dizziness
Syncope
Tired

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4
Q

What is the initial management of bradycardia

A

DR ABCDE
ECG
Treat reversible causes
If haemodynamically unstable give IV Atropine

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5
Q

Why would you give IV atropine to a haemodynamically unstable bradycardic patient

A

Atropine blocks the vagus nerve activity on the heart

SAN firing increases = increase heart rate

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6
Q

What factors increase the risk of asystole in bradycardia

A
Mobitz II heart block
Complete heart block
Broad QRS
Recent Asystole
Ventricular pause>3 secs
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7
Q

What should you give to a a patient presenting with asystolic bradycardia

A

Atropine

If no response, give Isoprenaline/Adrenaline

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8
Q

What is the permanent treatment for bradycardia

A

Permanent pacemaker

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9
Q

What can you offer while awaiting a PERMANENT PACEMAKER

A

Transcutaneous pacing

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