|
|
| Line 17: |
Line 17: |
|
| |
|
| ==Diagnosis== | | ==Diagnosis== |
|
| |
| ==Treatment==
| |
| ===Urgent Treatment===
| |
| * Check drug list and remove drugs predisposing to bradycardia like [[beta blockers]], [[calcium channel blocker]], anti-arrhythmic drug.
| |
| * Drug treatment for bradycardia is typically not indicated for patients who are asymptomatic.
| |
| * In symptomatic patients, underlying electrolyte or [[acid-base disorders]] or [[hypoxia]] should be corrected first.
| |
| * IV [[atropine]] may provide temporary improvement in symptomatic patients, although its use should be balanced by an appreciation of the increase in myocardial oxygen demand this agent causes. [[Atropine]] 0.5-1 mg IV or ET q3-5min up to 3 mg total (0.04 mg/kg)
| |
|
| |
| ====Indications For a Temporary Pacemaker====
| |
| Advanced [[heart block]] such as [[complete heart block]] is an indication for a temporary [[pacemaker]] insertion.
| |
|
| |
| ===Chronic Management===
| |
| There are two main reasons for treating brandycardia:
| |
| #With bradycardia, the first is to address the associated symptoms, such as [[Fatigue (physical)|fatigue]], limitations on how much an individual can physically exert, [[fainting]] (syncope), [[dizziness]] or [[lightheadedness]], or other vague and non-specific symptoms.
| |
| #The other reason to treat bradycardia is if the person's ultimate outcome (prognosis) will be changed or impacted by the bradycardia.
| |
| Treatment in this vein depends on whether any symptoms are present, and what the underlying cause is.
| |
| Primary or [[idiopathic]] bradycardia is treated symptomatically if it is significant, and the underlying cause is treated if the bradycardia is secondary.
| |
|
| |
|
| ==See also== | | ==See also== |
