Bradycardia Flashcards
1
Q
The management of bradycardia depends on the presence/absence of…? (2)
A
“Adverse signs”
Risk of asystole
2
Q
What are the adverse features in bradycardia which indicate need for treatment? (4)
A
Signs of shock (systolic BP less than 90, clinical signs)
Syncope
Myocardial ischaemia
Signs of heart failure
3
Q
Which features indicate risk of asystole?
A
Complete heart block with broad QRS
Recent asystole
Mobitz II
Ventricular pause more than 3 seconds
4
Q
How bradycardia + adverse signs be managed?
A
Atropine
5
Q
How should bradycardia + risk of asystole be managed? What if there is a delay in provision of this? (3)
A
Transvenous pacing
Atropine
Adrenaline infusion
Transcutaneous pacing
