Pocket ICU Management
Bradyarrhythmias
First Things First (assess & treat for the following)
- Bradycardia = ventricular rate < 50-60 bpm
- Can be normal (sinus bradycardia)
- Can be abnormal
- Sinus node dysfunction
- Conduction block
- Assess hemodynamic status:
- Is pt hypotensive?
- Is there evidence of tissue hypoperfusion?
- Evaluate for CHF.
- Evaluate for active ischemia.
- If any of the above are yes, then the pt is unstable & requires immediate treatment per ACLS.
- Treatment of SYMPTOMATIC bradycardia
- Atropine (anticholinergic): 0.5-1 mg
- Isoproterenol (beta agonist): 2-10 mcg/min
- Temporary pacing
- Transcutaneous pacing
- Transvenous pacing
- Epinephrine: 2-10 mcg/min
- Dopamine: 5-20 mcg/min
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Last updated: April 9, 2010
Citation
"Bradyarrhythmias." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534247/all/Bradyarrhythmias.
Bradyarrhythmias. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534247/all/Bradyarrhythmias. Accessed October 31, 2025.
Bradyarrhythmias. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534247/all/Bradyarrhythmias
Bradyarrhythmias [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2025 October 31]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534247/all/Bradyarrhythmias.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Bradyarrhythmias
ID - 534247
Y1 - 2010/04/09/
BT - Pocket ICU Management
UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534247/all/Bradyarrhythmias
PB - PocketMedicine.com, Inc
DB - Anesthesia Central
DP - Unbound Medicine
ER -
