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Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
- ENDOCRINE: Hypothyroidism ... - TOX: beta-blockers ... TREATMENT - Drugs (beta-blockers ... Electrolytes (hyperkalemia ... #Algorithm #Differential
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm
Beta-Blockers 
• Decreases sympathetic hyperactivity 
• Partially blocks peripheral conversion
Management of Hyperthyroidism ... Thyroid Storm Beta-Blockers ... peripheral conversion ... • Decreases conversion ... accompany storm #Hyperthyroidism
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Endocrine: • Hypothyroidism ... Medications: • Beta ... channel blockers ... #differential #
Hyperkalemia - Differential Diagnosis - Impaired Excretion vs Redistribution

Impaired Urinary Excretion 
 - Renal failure
 -
Hyperkalemia - Differential ... Medications - Beta ... blockers - Calcineurin ... - Exercise - Hyperkalemic ... #Differential #
Beta Blocker Side Effects / Toxicity
Cardiac Side Effects:
 • Sinus bradycardia, AV block, Heart failure exacerbation,
Beta Blocker Side ... Effects: • Sinus bradycardia ... , AV block, Heart ... exacerbation, Beta ... Facilitation of hyperkalemia
Drugs causing hyperkalemia
 • Impaired release of renin: NSAIDs, Beta blockers, Cyclosporine, tacrolimus, Diabetes, Elderly
 •
Drugs causing hyperkalemia ... renin: NSAIDs, Beta ... blockers, Cyclosporine ... Drospirenone #Drugs #hyperkalemia ... medications #causes #differential
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... inhibition (NSAIDs, Beta-Blockers ... Sodium-channel blockers ... MunerMohamed1 #hyperkalemia ... #differential #
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
↑ T3 - Mild hypercalcemia ... Treatment: - Beta ... blocker - Thionamide ... Treatment: • Beta ... causes #diagnosis #differential
The Diagnostic Approach to Hyperkalemia
Drugs
 - Amiloride
 - Spironolactone
 - Triamterene
 - Trimethoprim
 - Pentamidine
 -
Diagnostic Approach to Hyperkalemia ... - NSAlDs - Beta-Blockers ... #Hyperkalemia ... #Algorithm #diagnosis ... #differential #
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative Bradycardia ... Non-Infectious Causes: Beta-blockers ... Dissociation #relative #bradycardia ... #differential #