Algorithms
Adult ACLS
Adult Bradycardia
Treat bradycardia only when it causes symptoms. Atropine first; if ineffective, transcutaneous pacing or a chronotropic infusion.
Interactive pathway
- Assess
Assess appropriateness for clinical condition
- Heart rate typically < 50/min if bradyarrhythmia
- Action
Identify and treat the underlying cause
- Maintain patent airway; assist breathing as necessary
- Oxygen if hypoxemic
- Cardiac monitor, BP, oximetry, IV access
- 12-lead ECG if available
- Consider possible hypoxic and toxicologic causes
- Decision
Persistent bradyarrhythmia causing instability?
Hypotension · acutely altered mental status · signs of shock · ischemic chest discomfort · acute heart failure