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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 ... LIFE THREATENING CAUSES ... TREATMENT - Drugs (beta-blockers
Antiarrhythmics - Vaughan Williams Classification:
CLASS 1 - Sodium Channel Blockers:
 • MOA: Block fast Na+ channels
: • MOA: Block ... 2 - Beta Blockers ... : • MOA: Block ... : • MOA: Block ... #Classes #pathophysiology
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 ... HeartBlocks #Types #Classification ... electrocardiogram #ecg
Antiarrhythmic Medications - Vaughan Williams Classification - Summary Table
Class I agents - Sodium Channel Blockers⠀
Class II
Vaughan Williams Classification ... - Summary Table ... are beta blockers ... #Medications #Classification ... #Summary #Table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Differential Diagnosis by Classification ... • AV block ... Medication side effect (e.g ... Differential #Diagnosis #Classification ... #Table #Causes
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
sodium channel blockers ... which cause QRS ... - Amantadine Beta ... Blockers: - ... Differential #Drugs #Classes
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 • Na+ channels open leading to a
: • MOA: Block ... 2 - Beta Blockers ... : • MOA: Block ... : • MOA: Block ... #Classes #pathophysiology
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
bundle branch blocks ... bundle branch block ... Differential #Diagnosis #Causes ... #Cardiology #ECG ... #EKG #Electrocardiogram
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
diltiazem) - AV block ... statins, digoxin) Beta ... , AV block (grade ... Depression, AV block ... contraindications #table
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
- w/ variable block ... (3) SA node block ... rhythms (5) AV block ... - Proximal AV block ... QRS - Distal AV block