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By ULY CLINIC

Sinus bradycardia & sinus arrest

Introduction

Sinus bradycardia & sinus arrest
Sinus bradycardia & sinus arrest
Sinus bradycardia & sinus arrest

This rhythm does not require treatment, unless they are causing symptoms, i.e. syncope, dizziness, tiredness and poor effort tolerance. Sinus bradycardia < 50/minute or sinus arrest with slow escape rhythm, accompanied by hypotension, strongly suggests a treatable underlying cause:

• Acute inferior myocardial infarct
• Hyperkalaemia, especially if wide QRS and/or peaked T waves
• Drugs, especially combination of verapamil and ß –blocker or digoxin
• Hypothermia

Sign and Symptoms

Diagnostic Criteria

Investigation

Treatment

  • Pharmacological

    Hypoxia Treat the cause.
    Consider atropine if inferior infarct.
  • Non-Pharmacological

Prevention

Updated on,

5 Novemba 2020 12:27:29

References

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