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Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
Diagnostic and Management ... Algorithm CONSIDER ... STRUCTURAL: sick sinus, AV ... block, ischemia ... LIFE THREATENING CAUSES
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... w/ AV Block, Junctional ... AV Block, Mobitz ... II AV Block Wide ... Bradycardia Management
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
• Third degree block ... • First degree AV ... • Reversible causes ... of AV block - ... PPM #cardiology #management
Algorithm for the Evaluation and Management of Bradycardia #Diagnosis #Management #EM #Cardiology #Bradycardia #Algorithm #Differential #AVBlock
Algorithm for the ... Evaluation and Management ... Bradycardia #Diagnosis #Management ... #Bradycardia #Algorithm ... #Differential #AVBlock
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... • AV Block (ISt ... with Variable AV ... Differential #Diagnosis #Algorithm ... #causes
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... Differential Diagnosis Algorithm ... Atrial flutter • AV ... tachycardia • AV ... #Causes #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
rhythms (5) AV ... 200ms from longer pause ... QRS - Proximal AV ... block (lower AV ... Wide QRS - Distal AV
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... 2nd/3rd degree AV ... Block • Pacemaker ... Differential #Diagnosis #Algorithm ... #causes
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
1st Degree Heart Block ... Mobitz I Heart Block ... Brady Management ... • Block in AV ... beyond AV node)
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
waves indicate AV ... dissociation: 3rd deg AV ... block, or, as this ... case, VVI (asynchronous