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Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
Algorithm CONSIDER ... sick sinus, AV block ... Hypothyroidism - TOX: beta-blockers ... LIFE THREATENING CAUSES ... TREATMENT - Drugs (beta-blockers
Antiarrhythmics - Vaughan Williams Classification:
CLASS 1 - Sodium Channel Blockers:
 • MOA: Block fast Na+ channels
Vaughan Williams Classification ... : • MOA: Block ... : • MOA: Block ... primarily) and block ... : • MOA: Block
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Summary of Heart Blocks ... 1st Degree Heart Block ... Mobitz I Heart Block ... Brady Management ... HeartBlocks #Types #Classification
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Differential Diagnosis by Classification ... • AV block ... side effect (e.g. αblockers ... Differential #Diagnosis #Classification ... #Table #Causes
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 • Na+ channels open leading to a
: • MOA: Block ... duration CLASS 2 - Beta ... : • MOA: Block ... primarily) and block ... : • MOA: Block
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... , induction of anesthesia ... phenoxybenzamine blocks ... Starting beta blockers ... • Beta blockers
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... hypovolaemia or combined causes ... o Endocrine cause ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Consider known drug causes ... toxicity (→ 3-10); beta-blocker ... calcium channel blocker ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Central Neuraxial Block ... in Anaesthesia ... Central #Neuraxial #Block ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm