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A 50-year-old man is admitted to the hospital after sustaining an acute myocardial infarction. Eight hours after this event, his blood pressure is 70/50 mm Hg, and his pulse is 45/min. An ECG reveals sinus rhythm. Which of the following is the most appropriate intervention?
A. Administer atropine intravenously
B. Administer dobutamine
C. Administer a beta blocker
D. Insert a transvenous pacemaker
E. Perform cardiac catheterization
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yes, a, the pt has symptomatic bradycardia.
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yes he is Bradycardic & hypotensive so lets normalize his BP 1st
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D, seems like a complete heart block to me, here atropine won't help.
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In complete Heart Block will you have Sinus Rhtym superdoc?
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I agree w/ Complete Heart Block as the Pt is Hypotensive & Brdycardic. But should we not give Atropine (or Epi) to bring up the BP and then OR placement of Pacemeaker??
Zahra what the explantion? thx
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Any medication is useless in complete heart block, pacing is the only answer
