Bradycardia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Common physical examination findings of bradycardia include decreased level of consciousness, cyanosis, peripheral edema, pulmonary vascular congestion, dyspnea, poor perfusion, and syncope.
Physical Examination
Appearance of the Patient
- Patients with bradycardia can appear cyanotic and dyspneic.[1]
Vital Signs
- Peripheral pulses reveal a slow and regular heart rate.
Skin
HEENT
- HEENT examination of patients with bradycardia is usually normal.
Neck
- Neck examination of patients with bradycardia is usually normal.
Lungs
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally.
Heart
- Cardiac auscultation and palpation of peripheral pulses reveal a slow, regular heart rate.[2]
Abdomen
- Abdominal distension and
- Abdominal tenderness in the right/left upper/lower abdominal quadrant in case of congestive heart failure.
Back
- Back examination of patients with bradycardia is usually normal.
Genitourinary
- Genitourinary examination of patients with bradycardia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with bradycardia is usually normal.