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* [[Sick sinus syndrome|Sick sinus syndrome/tachycardia-bradycardia syndrome]] | * [[Sick sinus syndrome|Sick sinus syndrome/tachycardia-bradycardia syndrome]] | ||
* 2nd degree [[Atrioventricular block|AV block]] Mobitz type II | * 2nd degree [[Atrioventricular block|AV block]] Mobitz type II | ||
* 3rd degree [[AV block]] | * 3rd degree [[AV block]] with a [[Junctional escape rhythm|junctional]] or [[ventricular escape rhythm]] | ||
== Etiology == | == Etiology == | ||
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* Drug intoxication ([[tricyclic antidepressants]], [[digoxin]], [[beta blockers]], [[calcium channel blockers]]) | * Drug intoxication ([[tricyclic antidepressants]], [[digoxin]], [[beta blockers]], [[calcium channel blockers]]) | ||
== | == Acute management == | ||
If bradyarrhythmias are severe enough to cause haemodynamic instability, [[atropine]] (0,5 mg) can be given to increase the heart rate. Atropine can be repeated up to 3 mg. As a second choice, [[isoprenaline]] or [[adrenaline]] can be given. Transcutaneous pacing may also be used, where pads applied externally to the chest pace the heart like a pacemaker.<section end="A&IC" /> | If bradyarrhythmias are severe enough to cause haemodynamic instability, [[atropine]] (0,5 mg) can be given to increase the heart rate. Atropine can be repeated up to 3 mg. As a second choice, [[isoprenaline]] or [[adrenaline]] can be given. Transcutaneous pacing may also be used, where pads applied externally to the chest pace the heart like a [[pacemaker]].<section end="A&IC" /> | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Internal Medicine (POTE course)]] | [[Category:Internal Medicine (POTE course)]] |