Initial Approach

A review of the initial approach and simplified differential for a bradycardic patient: A quick ECG interpretation. Consider ischemia, electrolytes, and drugs. A bradycardia resuscitation with the residents

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Jan R. - July 8, 2017 10:52 AM

Might be a typo? Atropine max 2-3gm maximum.

Tim V. - July 24, 2017 1:33 AM

Was surprised not to see Mel's mnemonic DIE (drugs, ischemia, electrolytes) as a differential for bradycardia on the summary.

It might also be helpful to consider sepsis in the differential - it can present with bradycardia.

Thanks again for excellent review.

Zed A. - January 24, 2018 8:14 PM

P-QRS-T-P - Nothing- P- QRS-T

Can't tell if it's Mobitz 1 or 2 since it's 2:1. Call it second degree heart block.

Shamith J., Dr - May 22, 2021 4:57 AM

Can we give in adrenaline for bradycardia in a setting of acute myocardial infarction.
Because it increases the myocardial contractility and increase oxygen consumption which may be harmful.

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Bradyarrhythmias Full episode audio for MD edition 53:15 min - 50 MB - M4AC3 - 2017 - July - Bradycardia Board Review Answers 162 KB - PDFC3 - 2017 - July - Bradycardia Board Review Questions 925 KB - PDFC3 2017 July Bradycardia Individual MP3 71 MB - ZIPC3 - 2017 - July - Bradycardia Written Summary 500 KB - PDF

July 2017

Initial Approach

Bradyarrhythmias5 Chapters

Initial Approach

Treatment

AV Nodal Blocks

Expanded Differential

Summary

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