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News About Bradycardia

09-SEPTEMBER-2008 02:07:44 - Bradycardia Symptom/Sign: Bradycardia Classifications and external resources ICD-10 R00.1 ICD-9 427.81, 659.7, 785.9, 779.81 Bradycardia, as applied to adult medicine, is defined as a resting heart rate of under 60 beats per minute, though it is seldom symptomatic until the rate drops below 50 beat/min. 1 Trained athletes tend to have slow resting heart rates, and resting bradycardia in athletes should not be considered abnormal if the individual has no symptoms associated with it. The term relative bradycardia is used to explain a heart rate that, while not technically below 60 beats per minute, is considered too slow for the individual's current medical condition. This cardiac arrhythmia can be underlain by several causes, which are best divided into cardiac and non-cardiac causes. Non-cardiac causes are usually secondary, and can involve drug use or abuse; metabolic or endocrine issues, especially in the thyroid; an electrolyte imbalance; neurologic factors; autonomic reflexes; situational factors such as prolonged bed rest; and autoimmunity. Cardiac causes include acute or chronic ischemic heart disease, vascular heart disease, valvular heart disease, or degenerative primary electrical disease. Ultimately, the causes act by three mechanisms: depressed automaticity of the heart, conduction block, or escape pacemakers and rhythms. Contents 1 Causes 2 Management 3 Treatment 4 See also 5 References Causes ECG showing Slow heart rate or Bradycardia ECG showing Slow heart rate or Bradycardia There are generally two types of problems that result in bradycardias: disorders of the sinoatrial node SA node, and disorders of the atrioventricular node AV node. With sinus node dysfunction sometimes called sick sinus syndrome, there may be disordered automaticity or impaired conduction of the impulse from the sinus node into the surrounding atrial tissue an exit block. It is difficult and sometimes impossible to assign a mechanism to any particular bradycardia, but the underlying mechanism is not clinically relevant to treatment, which is the same in both cases of sick sinus syndrome: a permanent pacemaker. Atrioventricular conduction disturbances aka: AV block; 1o AV block, 2o type I AV block, 2o type II AV block, 3o AV block may result from impaired conduction in the AV node, or anywhere below it, such as in the bundle of HIS. Patients with bradycardia have likely acquired it, as opposed to having it congenitally. Bradycardia is more common in older patients. Management There are 2 main reasons for treating any cardiac arrhythmias. With bradycardia, the first is to address the associated symptoms, such as fatigue, limitations on how much a person can physically exert, fainting syncope, dizziness or lightheadedness, or other vague and non-specific symptoms. The other reason to treat bradycardia is if the person's ultimate outcome prognosis will be changed or impacted by the bradycardia. Treatment depends on whether any symptoms are present, and what the underlying cause is. Treatment Drug treatment is not needed if the pt is asymptomatic. In symptomatic pts, draw a chem 12 and abg's to assess electrolytes and blood gases. IV atropine may provide temporary improvement in symptomatic pts. for symptomatic pts: Atropine 0.5-1 mg IV or ET q3-5min maximum dose is 3 mg total 0.04 mg/kg Image:Lead II rhythm generated sinus bradycardia.JPG See also Tachycardia Hypotension References ^ Sinus Bradycardia eMedicine v d e Symptoms and signs: circulatory and respiratory systems R00-R09, 785-786 Cardiovascular system heartbeat: Tachycardia - Bradycardia - Palpitation blood flow: Heart murmur - Bruit/Carotid bruit - Epistaxis Gangrene Respiratory system and other chest symptoms Hemoptysis - Cough abnormalities of breathing Dyspnea, Orthopnoea, Stridor, Wheeze, Cheyne-Stokes respiration, Hyperventilation, Mouth breathing, Hiccup, Bradypnea, Hypoventilation Chest pain - Asphyxia - Pleurisy - Respiratory arrest - Sputum - Rales - Hypercapnia Retrieved from http://en..org/wiki/Bradycardia Categories: Cardiology | Symptoms Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages ÄŒesky Deutsch Español Français Italiano Nederlands ‪Norsk nynorsk‬ Polski Português РуÑ?Ñ?кий SlovenÄ?ina Suomi Svenska УкраїнÑ?ька This page was last modified on 24 July 2008, at 03:4

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