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Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
and Management Algorithm ... sick sinus, AV block ... Hypothyroidism - TOX: beta-blockers ... TREATMENT - Drugs (beta-blockers ... #Differential
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
Syncope - Differential ... Framework Reflex Syncope ... Medication Effect: a-blockers ... Sinus pauses, AV block ... #Differential #
Antiarrhythmics - Vaughan Williams Classification:
CLASS 1 - Sodium Channel Blockers:
 • MOA: Block fast Na+ channels
: • MOA: Block ... repolarization CLASS 3 - Potassium ... : • MOA: Block ... primarily) and block ... : • MOA: Block
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Syncope - Differential ... percentage of syncopal ... Sick sinus, AV block ... Others Non-syncopal ... #differential #
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... - Vasovagal syncope ... pauses • AV block ... side effect (e.g. αblockers ... #Differential #
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
inhibition (NSAIDs, Beta-Blockers ... Angiotensin II Receptor Blockers ... Sodium-channel blockers ... #hyperkalemia #differential ... #pharmacology #potassium
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... /3rd degree AV Block ... #Cardiology #Differential ... #Diagnosis #Algorithm
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Hypokalemia - Differential ... Diagnosis Algorithm ... cells: Insulin, Beta-Agonist ... #Diagnosis #Algorithm ... #causes #potassium
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management Algorithm ... Dialysis Serum potassium ... Intraventricular blocks ... , fascicular blocks ... bundle branch blocks
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 • Na+ channels open leading to a
: • MOA: Block ... repolarization CLASS 3 - Potassium ... : • MOA: Block ... primarily) and block ... : • MOA: Block