zbl
Forum Newbie
Topics: 13
Posts: 16
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Based on my understanding: for asymptomatic sinus bradycadia, first degree AV block and second degree AV block-type I, no treatment needed. If the above three is symptomatic, then use atropine, if no response to atropine, then pacemaker. For second degree AV block -type II and complete block, no matter symptomatic or not, give pacemaker. Can anyone tell me if my understanding is correct? I saw at somewhere "first degree av block need no treatment", this makes me confused.
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| frank100
Forum Guru
Topics: 48
Posts: 586
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there are a lot of causes of bradicardia thatīs why you satrt with the ABCīs. when you get the ECG tracing you will decide.
I f you have poor perfusion symptoms: prepare for transcutaneous pacing (maybe some atropine while waiting)
If you do not have poor perfusion symptoms: only observe.
when you are facing a specific tracing in the ECG, such as an AV block, this should be addressed this way:
first degree AV block: observe, unless the patient is hemodinmically unstable
second degree (mobitz I): look for the offending agent (digoxin, beta blockers, etc..) if not a posible cause, then look for hemodinamic status (if bradicardic and unstable: pace, if bradicardic and stable: observe)
second degree (mobitz II): pacemaker ALWAYS INDICATED, it doesnīt matter if hemodinamically stable. pacemaker always.
complete heart block: ALWAYS PACEMAKER. it doesnīt matter in hemodinamically stable of unstable...
hope it helps
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| SilatK
Forum Guru
Topics: 42
Posts: 592
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Agree. with Frank
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| zbl
Forum Newbie
Topics: 13
Posts: 16
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Frank, thanks for your help
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