Bradicardia

Question 1

What is considered life-threatening features in patients with bradycardia?

Answer 1

• shock
• syncope
• MI
• heart failure

Question 2

What is the first-line management in patients with bradycardia and life-threatening features?

Answer 2

Atropine 500micrograms IV (every 3-5 minutes, max 3mg)

Question 3

What are alternative medical options in patients with life-threatening feature of bradycardia and inadequate response to atropine?

Answer 3

Either transcutaneous pacing or
* Isoprenaline 5 mcg min-1 IV
* Adrenaline 2–10 mcg min-1 IV
* (+ alternative drugs)