Materiały źródłowe

• #1 Sinus Bradycardia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493201/

  A patient with sinus bradycardia should be evaluated for hemodynamic instability. If found to be hemodynamically unstable, the patient can be treated with intravenous (IV) atropine 0.5 mg push every 3 to 5 minutes up to 3 mg total. If the patient’s symptoms and heart rate do not improve, the patient is a candidate for a temporary pacemaker. […] While management decisions are being made for a patient with sinus bradycardia, the patient’s medication list should also be reviewed for possible causes of bradycardia, and those medications should be withdrawn if possible. If a patient has comorbid conditions that require him to be on certain medications, which may be causing the sinus bradycardia, then in that case-patient may be a candidate for a permanent pacemaker. In cases where medication can be withdrawn, withdrawal is made, and if symptoms and heart rate still do not improve, then the patient may be evaluated for a permanent pacemaker.

• #2 Bradycardia – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bradycardia/diagnosis-treatment/drc-20355480

  Treatment for bradycardia depends on how severe the symptoms are and the cause of the slow heart rate. If you don’t have symptoms, treatment might not be needed. […] Bradycardia treatment may include: […] A medical device called a pacemaker. […] If you have severe bradycardia symptoms and other treatments aren’t possible, your health professional may suggest a device called a pacemaker. […] A pacemaker is placed under the skin near the collarbone during a minor surgery. The device helps fix a slow heartbeat. When the heart beats too slowly, the pacemaker sends electrical signals to the heart to speed up the beat.

• #3 Bradycardia: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17841-bradycardia

  If you have bradycardia but don’t have any symptoms, it’s unlikely that you need treatment. For those who do have symptoms, bradycardia is almost always treatable and is sometimes curable. If you have bradycardia because of another medical condition, sometimes treating that condition is all it takes to stop your bradycardia. An example of this is when you have bradycardia because of a medication you’re taking. […] There are two primary ways to treat bradycardia. […] If bradycardia is causing significant problems such as dangerously low blood pressure, an intravenous (IV) or injectable medication such as atropine can cause your heart to beat faster. Treatments like this are usually hospital-specific because people receiving these medications may need monitoring and additional care. […] For many people with bradycardia, a permanent pacemaker is the best way to treat this condition. This is especially effective with conditions like sick sinus syndrome, where your heart’s natural pacemaker cells aren’t working properly.

• #4 Bradycardia (Slow Heart Rate) | University of Michigan Health

  https://www.uofmhealth.org/health-library/aa107571/Accessed

  How is bradycardia treated? […] How bradycardia is treated depends on what is causing it. Treatment also depends on the symptoms. If bradycardia doesn’t cause symptoms, it may not be treated. You and your doctor can decide what treatment is right for you. […] If damage to the heart’s electrical system causes your heart to beat too slowly, you may get a pacemaker. A pacemaker is an implanted device that helps correct the slow heart rate. […] […] If another medical problem, such as hypothyroidism or an electrolyte imbalance, is causing a slow heart rate, treating that problem may cure the bradycardia. […] […] If a medicine is causing your heart to beat too slowly, your doctor may adjust the dose or prescribe a different medicine. […] The goal of treatment is to raise your heart rate and relieve symptoms. For certain types of bradycardia, treatment may help prevent serious problems. These problems include fainting, injuries from fainting, and even death.

• #5 Management of bradycardia – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/management-of-bradycardia/

  Bradycardia is generally defined as a heart rate of . All patients require urgent evaluation with ECG and monitoring. Patients with unstable bradycardia require immediate stabilization, initially with IV atropine, followed by transcutaneous pacing and/or IV chronotropic medications (e.g., dopamine, epinephrine), and transvenous pacing for refractory bradycardia. […] Treatment should also address reversible underlying causes of bradycardia, e.g., hypoxemia, acute coronary syndrome, electrolyte disturbances, and medication-induced bradycardia. […] Patients with unstable bradycardia need immediate stabilization with IV atropine, temporary cardiac pacing, and/or IV chronotropic medication, e.g., dopamine or epinephrine. […] Identify and treat reversible causes of bradycardia, e.g., supplemental O2 for hypoxemia.

• #6 Management of bradycardia – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/management-of-bradycardia/

  Start initial management of bradycardia and immediate hemodynamic support simultaneously with the following treatment: First-line: IV atropine. […] If refractory to atropine: Start temporizing measures. […] If refractory to pharmacotherapy: Consult cardiology for transvenous pacing. […] Concurrently treat reversible causes of bradycardia, e.g., hypoxia, hyperkalemia, acute coronary syndrome, beta blocker toxicity, CCB toxicity, cardiac glycoside toxicity. […] Begin definitive therapy for specific bradyarrhythmias under specialist guidance. […] Identify indications for permanent pacemaker insertion. […] High-risk AV block is an indication for permanent pacemaker insertion.

• #7 Sinus Bradycardia Treatment & Management: Prehospital Care, Emergency Department Care, Long-Term Monitoring

  https://emedicine.medscape.com/article/760220-treatment

  If sinus bradycardia is asymptomatic or produced by a reversible cause, according to the guidelines, pacing is not indicated. […] In patients with sinus bradycardia secondary to therapeutic use of digitalis, beta-blockers, or calcium channel blockers, simple discontinuation of the drug, along with monitored observation, are often all that is necessary. Occasionally, intravenous atropine and temporary pacing are required. […] Treatment of postinfectious bradycardia usually requires permanent pacing. […] In patients with hypothermia who have confirmed sinus bradycardia with a pulse, atropine and pacing are usually not recommended because of myocardial irritability. Rewarming and supportive measures are the mainstays of therapy. […] Treatment of inadequate perfusion would include pressors, atropine, and pacing. […] Regular follow-up care is necessary for patients in whom a permanent pacemaker is placed.

• #8 Atropine Dose for Bradycardia | ACLS Guidelines

  https://www.aclsmedicaltraining.com/adult-bradycardia-algorithm/

  Treatments for potential causes of bradycardia include infusion of normal saline or Ringer’s lactate for hypovolemia, airway management and effective oxygenation for hypoxia, hyperventilation and sodium bicarbonate bolus for hydrogen ion excess (acidosis), IV bolus of dextrose for hypoglycemia, IV magnesium infusion for hypokalemia, calcium chloride, sodium bicarbonate, and an insulin and glucose protocol for hyperkalemia, gradual rewarming for hypothermia, thoracostomy or needle decompression for tension pneumothorax, pericardiocentesis for cardiac tamponade, and surgical embolectomy or administration of fibrinolytics for thrombosis (pulmonary embolus).

• #9 Bradycardia Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/bradycardia.html

  Hypothyroidism is treated with replacement doses of thyroid hormone. […] Lyme disease. Treatment with antibiotics clears the infection and the bradycardia almost always resolves. […] Call your doctor if your pulse is less than 50 beats per minute. This is especially important if you have had dizziness, weakness, lack of energy or fainting spells. […] The availability of permanent pacemakers has improved the quality of life and prognosis for many people with cardiac arrhythmias.

• #10 Bradycardia Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/bradycardia.html

  Hypothyroidism is treated with replacement doses of thyroid hormone. […] Lyme disease. Treatment with antibiotics clears the infection and the bradycardia almost always resolves. […] Call your doctor if your pulse is less than 50 beats per minute. This is especially important if you have had dizziness, weakness, lack of energy or fainting spells. […] The availability of permanent pacemakers has improved the quality of life and prognosis for many people with cardiac arrhythmias.

• #11 Sinus Bradycardia Treatment & Management: Prehospital Care, Emergency Department Care, Long-Term Monitoring

  https://emedicine.medscape.com/article/760220-treatment

  Intravenous access, supplemental oxygen, and cardiac monitoring should be initiated in the field. […] In symptomatic patients, intravenous atropine may be used. […] In rare cases, transcutaneous pacing may need to be initiated in the field. […] Care in the ED should first rapidly ensure the stability of the patient’s condition. This is followed by an investigation into the underlying cause of the bradycardia. […] Patients in unstable condition may require immediate endotracheal intubation and transcutaneous or transvenous pacing. […] In sick sinus syndrome, drug therapy approaches have been relatively disappointing. While atropine has aided some patients transiently, most patients ultimately require placement of a pacemaker. […] According to the ESC guidelines, pacing is indicated if a patient displays symptoms that are clearly caused by sinus bradycardia.

• #12 Bradycardia – CHEMS Field Treatment Guidelines

  https://chemsftg.com/bradycardia/

  Maintain adequate perfusion […] Treat underlying cause: Hypoxia, Shock, Second or third-degree AV block, Toxin exposure (beta-blocker, calcium channel blocker, organophosphates, digoxin), Electrolyte disorder, Hypoglycemia, Increased intracranial pressure (ICP), Other […] Consider the following additional therapies if bradycardia and symptoms of hemodynamic instability continue: For any unstable bradycardia, Transcutaneous Pacing If pacing performed, consider sedation or pain control. […] For Sinus Bradycardia or increased vagal tone only Atropine 0.5 mg IV every 3 minute (maximum total dose of 3 mg) […] Treatment is only indicated for patients who are symptomatic (pale/cyanotic, diaphoretic, altered mental status, hypoxic) […] Consider the following additional therapies if bradycardia and symptoms of hemodynamic instability continue: For any unstable bradycardia, transcutaneous pacing If pacing performed, consider sedation or pain control. […] If increased vagal tone or cholinergic drug toxicity Consider atropine 0.02 mg/kg IV with dose of 0.1 0.5 mg, repeat every 5 mins (maximum total dose of 3 mg)

• #13 Bradycardia | Diagnosis & Disease Information – The Cardiology Advisor

  https://www.thecardiologyadvisor.com/ddi/bradycardia/

  Bradycardia Treatment […] Treatment depends on the type and severity of bradycardia and may include lifestyle changes, changes in medication, temporary or permanent pacemaker placement, or intravenous medications. […] Acute bradycardia requires a stepwise approach to management. After determining that the patient is hemodynamically stable, clinicians should assess and treat reversible causes of bradycardia. Simultaneously, patients with moderate to severe symptoms should receive atropine. Options for acute medical management of bradycardia attributable to SND or AV block include dopamine, epinephrine, and glucagon. […] Patients who continue to have severe symptoms with hemodynamic instability require acute pacing. […] When diagnosing SND, clinicians must rule out reversible causes. Reversible or treatable causes of SND include medications, metabolic abnormalities, acute myocardial ischemia or infarction, infections, toxins, and cardiac surgery.

• #14 Sinus Bradycardia | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/sinus-bradycardia.html

  If you dont have symptoms, you likely wont need any treatment. But if you do have symptoms, you may need treatment. This may include treating the underlying cause. You may need to lower or stop medicines that may be slowing down your heart rate. These can include beta-blockers and calcium channel blockers. Some people may need a temporary or permanent pacemaker. This gives a small electrical impulse to increase the heart rate. […] If you do have symptoms, your health care provider may lower the dose of or reduce any medicines that might be triggering it. Some people need a pacemaker.

• #15 Bradycardia (Slow Heart Rate): Symptoms, Treatment, and More

  https://www.healthline.com/health/slow-heart-rate

  Bradycardia, or a slow heart rate, can occur due to heart issues and other health conditions. It may cause symptoms like shortness of breath and fatigue. Treatment can depend on the cause. […] The treatment of bradycardia depends on what’s causing it. Bradycardia that’s mild or occasional may not require treatment. […] If a slow heart rate is due to the effect of a medication, it’s possible that your doctor may adjust your medication dosage. If possible, they could also switch you to a different medication that doesn’t have bradycardia as a side effect. […] Similarly, if an underlying condition is contributing to your bradycardia, your doctor will work to address that condition. For example, the medication levothyroxine can be used to manage hypothyroidism. […] It’s also possible that your doctor may recommend a pacemaker. This is an implanted medical device that stimulates heartbeats so that they occur at a regular rate and rhythm. Bradycardia is one of the main conditions for which a pacemaker may be recommended.

• #16 Bradycardia (Slow Heart Rate): Symptoms, Treatment, and More

  https://www.healthline.com/health/slow-heart-rate

  Bradycardia, or a slow heart rate, can occur due to heart issues and other health conditions. It may cause symptoms like shortness of breath and fatigue. Treatment can depend on the cause. […] The treatment of bradycardia depends on what’s causing it. Bradycardia that’s mild or occasional may not require treatment. […] If a slow heart rate is due to the effect of a medication, it’s possible that your doctor may adjust your medication dosage. If possible, they could also switch you to a different medication that doesn’t have bradycardia as a side effect. […] Similarly, if an underlying condition is contributing to your bradycardia, your doctor will work to address that condition. For example, the medication levothyroxine can be used to manage hypothyroidism. […] It’s also possible that your doctor may recommend a pacemaker. This is an implanted medical device that stimulates heartbeats so that they occur at a regular rate and rhythm. Bradycardia is one of the main conditions for which a pacemaker may be recommended.

• #17 Bradycardia: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17841-bradycardia

  If you have bradycardia but don’t have any symptoms, it’s unlikely that you need treatment. For those who do have symptoms, bradycardia is almost always treatable and is sometimes curable. If you have bradycardia because of another medical condition, sometimes treating that condition is all it takes to stop your bradycardia. An example of this is when you have bradycardia because of a medication you’re taking. […] There are two primary ways to treat bradycardia. […] If bradycardia is causing significant problems such as dangerously low blood pressure, an intravenous (IV) or injectable medication such as atropine can cause your heart to beat faster. Treatments like this are usually hospital-specific because people receiving these medications may need monitoring and additional care. […] For many people with bradycardia, a permanent pacemaker is the best way to treat this condition. This is especially effective with conditions like sick sinus syndrome, where your heart’s natural pacemaker cells aren’t working properly.

• #18 ACLS drugs for Bradycardia | ACLS-Algorithms.com

  https://acls-algorithms.com/acls-drugs/bradycardia/

  There are three medications used in the bradycardia algorithm: atropine, epinephrine, and dopamine. Read about each drug and its use within the bradycardia algorithm below. […] When symptomatic bradycardia occurs, the primary objective is to identify and treat the cause of the problem. Medications are indicated if symptomatic bradycardia cannot be corrected by treating an underlying cause or if the cause cannot be determined. […] Atropine is the first line medication for the treatment of bradycardia. The administration of atropine typically causes an increase in heart rate. This increase in the heart rate occurs when atropine blocks the effects of the vagus nerve on the heart. […] The dosing for Atropine is 1 mg IV every 3-5 minutes as needed, and the maximum total dosage for administration is 3 mg.

• #19 Symptomatic Bradycardia in the Field

  https://www.verywellhealth.com/symptomatic-bradycardia-in-the-field-4144749

  The American Heart Association recommends atropine sulfate as the first line of treatment for symptomatic bradycardia, regardless of whether it is due to AVB or not. […] The best thing to remember is to follow the American Heart Association and give atropine a try. Evidence suggests that it wont harm the patient. If atropine is going to work, it usually works within a minute of administration. If two doses and two minutes later, atropine hasnt done the trick, then its time to move on to TCP.

• #20 Sinus Bradycardia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493201/

  A patient with sinus bradycardia should be evaluated for hemodynamic instability. If found to be hemodynamically unstable, the patient can be treated with intravenous (IV) atropine 0.5 mg push every 3 to 5 minutes up to 3 mg total. If the patient’s symptoms and heart rate do not improve, the patient is a candidate for a temporary pacemaker. […] While management decisions are being made for a patient with sinus bradycardia, the patient’s medication list should also be reviewed for possible causes of bradycardia, and those medications should be withdrawn if possible. If a patient has comorbid conditions that require him to be on certain medications, which may be causing the sinus bradycardia, then in that case-patient may be a candidate for a permanent pacemaker. In cases where medication can be withdrawn, withdrawal is made, and if symptoms and heart rate still do not improve, then the patient may be evaluated for a permanent pacemaker.

• #21 ACLS drugs for Bradycardia | ACLS-Algorithms.com

  https://acls-algorithms.com/acls-drugs/bradycardia/

  Atropine should be avoided with bradycardia caused by hypothermia and, in most cases, it will not be effective for Mobitz type II/Second-degree block type 2 or complete heart block. […] Transcutaneous pacing should be the first line action for symptomatic Mobitz II and symptomatic complete heart block. It is very safe & less painful than in previous times due to technological improvements. […] Epinephrine and dopamine are second-line drugs for symptomatic bradycardia. They are both used as infusions in the bradycardia algorithm if atropine is ineffective. […] The goal of therapy is to improve the patient’s clinical status rather than target an exact heart rate. […] Prior to the use of ACLS drugs in the treatment of symptomatic bradycardia, contributing factors of the bradycardia should be explored then ruled out or corrected.

• #22 Management of bradycardia – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/management-of-bradycardia/

  Start initial management of bradycardia and immediate hemodynamic support simultaneously with the following treatment: First-line: IV atropine. […] If refractory to atropine: Start temporizing measures. […] If refractory to pharmacotherapy: Consult cardiology for transvenous pacing. […] Concurrently treat reversible causes of bradycardia, e.g., hypoxia, hyperkalemia, acute coronary syndrome, beta blocker toxicity, CCB toxicity, cardiac glycoside toxicity. […] Begin definitive therapy for specific bradyarrhythmias under specialist guidance. […] Identify indications for permanent pacemaker insertion. […] High-risk AV block is an indication for permanent pacemaker insertion.

• #23 Atropine Dose for Bradycardia | ACLS Guidelines

  https://www.aclsmedicaltraining.com/adult-bradycardia-algorithm/

  Treatment for bradycardia should be based on controlling the symptoms and identifying the cause using the Hs and Ts. […] If the patient is symptomatic, administer atropine 1.0 mg IV or IO bolus and repeat the atropine every 3 to 5 minutes to a total dose of 3 mg: […] If atropine does not relieve the bradycardia, continue evaluating the patient to determine the underlying cause and consider transcutaneous pacing. […] Consider an IV/IO dopamine infusion at 2-10 mcg/kg/minute. […] Consider an IV/IO epinephrine infusion at 2-10 mcg/minute. […] In the cases of Mobitz type II second-degree heart block, third-degree AV block, or third-degree AV block with new widened QRS complex, atropine is unlikely to be effective. Consider transcutaneous pacing immediately or a beta-adrenergic infusion to increase heart rate.

• #24 Treatment of Bradycardia | PPT

  https://www.slideshare.net/slideshow/treatment-of-bradycardia/45735230

  This document discusses the treatment of bradycardia. It describes types of bradycardia including sinus and various atrioventricular blocks. Treatment depends on stability and includes identifying and treating the underlying cause, medications like atropine or adrenaline, transcutaneous pacing, and referral to cardiology for temporary pacing wires or permanent pacemaker implantation. […] Treatment Options Treat Cause Stable Vs Unstable Do Nothing Medications Transcutaneous Pacing Pacing Wire / PPM […] Drugs Atropine Competitive antagonist of acetylcholine at muscarinic receptors Increased HR (by reducing vagal tone) 400mcg up to 3mg Useful in vagally mediated bradycardia or possibly very high blocks Often no use in complete HB […] Drugs Adrenaline (preferred chronotrope) Non selective alpha and B agonist Increased blood pressure and HR 2-10 mcg/min Isoprenaline Selective, potent B agonist (B1) Risk of hypotension (No alpha effect B2 agonist) Positive inotrope, positive chronotrope 1-4 mcg/min Dopamine 2-10 mcg/kg/min

• #25 Theophylline for chronic symptomatic bradycardia in the elderly – PubMed

  https://pubmed.ncbi.nlm.nih.gov/9681101/

  The treatment of choice for chronic, symptomatic bradycardia is the placement of a cardiac pacemaker. […] Individuals who refuse or cannot tolerate pacemaker insertion usually require pharmacologic therapy. […] Theophylline has emerged as a reasonable alternative strategy. […] For the medical management of bradycardia in the elderly, the literature supports theophylline dosages between 400 and 600 mg/d (approximately 8 mg/kg/d) administered in divided doses. […] This dosage range should result in a steady-state serum concentration between 5 and 15 mg/L. […] While some investigators recommend potentially higher initial doses (up to 12 mg/kg/d), lower dosages are more appropriate in the elderly due to decreased theophylline clearance. […] Initial dosage titration may be indicated and prolonged therapy is expected on the basis of the common etiologies of bradycardia in this patient group.

• #26 Theophylline for chronic symptomatic bradycardia in the elderly – PubMed

  https://pubmed.ncbi.nlm.nih.gov/9681101/

  Patient specifics such as altered theophylline metabolism (e.g., smoking), drug interactions (e.g., ciprofloxacin), and concomitant disease states (e.g., hepatic disease, heart failure) should always be considered in theophylline dosage recommendations. […] Clinicians should adjust the theophylline dose on the basis of patient response, including heart rate and clinical symptomatology, as well as measurement of occasional theophylline concentrations, if deemed appropriate. […] Theophylline should be avoided in the bradycardia-tachycardia manifestations of sick sinus syndrome or when ventricular ectopy is frequent. […] Additional investigation will further define the role of theophylline in elderly patients with chronic, symptomatic bradycardia.

• #27 Bradycardia – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bradycardia/diagnosis-treatment/drc-20355480

  Treatment for bradycardia depends on how severe the symptoms are and the cause of the slow heart rate. If you don’t have symptoms, treatment might not be needed. […] Bradycardia treatment may include: […] A medical device called a pacemaker. […] If you have severe bradycardia symptoms and other treatments aren’t possible, your health professional may suggest a device called a pacemaker. […] A pacemaker is placed under the skin near the collarbone during a minor surgery. The device helps fix a slow heartbeat. When the heart beats too slowly, the pacemaker sends electrical signals to the heart to speed up the beat.

• #28 Management of bradycardia – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/management-of-bradycardia/

  Bradycardia is generally defined as a heart rate of . All patients require urgent evaluation with ECG and monitoring. Patients with unstable bradycardia require immediate stabilization, initially with IV atropine, followed by transcutaneous pacing and/or IV chronotropic medications (e.g., dopamine, epinephrine), and transvenous pacing for refractory bradycardia. […] Treatment should also address reversible underlying causes of bradycardia, e.g., hypoxemia, acute coronary syndrome, electrolyte disturbances, and medication-induced bradycardia. […] Patients with unstable bradycardia need immediate stabilization with IV atropine, temporary cardiac pacing, and/or IV chronotropic medication, e.g., dopamine or epinephrine. […] Identify and treat reversible causes of bradycardia, e.g., supplemental O2 for hypoxemia.

• #29 Bradycardia – CHEMS Field Treatment Guidelines

  https://chemsftg.com/bradycardia/

  Maintain adequate perfusion […] Treat underlying cause: Hypoxia, Shock, Second or third-degree AV block, Toxin exposure (beta-blocker, calcium channel blocker, organophosphates, digoxin), Electrolyte disorder, Hypoglycemia, Increased intracranial pressure (ICP), Other […] Consider the following additional therapies if bradycardia and symptoms of hemodynamic instability continue: For any unstable bradycardia, Transcutaneous Pacing If pacing performed, consider sedation or pain control. […] For Sinus Bradycardia or increased vagal tone only Atropine 0.5 mg IV every 3 minute (maximum total dose of 3 mg) […] Treatment is only indicated for patients who are symptomatic (pale/cyanotic, diaphoretic, altered mental status, hypoxic) […] Consider the following additional therapies if bradycardia and symptoms of hemodynamic instability continue: For any unstable bradycardia, transcutaneous pacing If pacing performed, consider sedation or pain control. […] If increased vagal tone or cholinergic drug toxicity Consider atropine 0.02 mg/kg IV with dose of 0.1 0.5 mg, repeat every 5 mins (maximum total dose of 3 mg)

• #30 Specific Interventions for Bradycardias – RCEMLearning

  https://www.rcemlearning.co.uk/modules/bradycardias/lessons/bradycardia-syndromes/topic/specific-interventions-for-bradycardias/

  Specific interventions for bradycardias are listed below: […] Atropine is the first-line treatment for symptomatic bradycardia. […] Atropine is effective in Mobitz type I heart block and third degree blocks with high nodal escape rhythms. […] Atropine at a dose of 0.5mg is the first line treatment for most symptomatic bradycardias. […] In these cases it may be necessary to use an inotrope. […] Adrenaline is now the preferred inotrope for this indication. […] Initial pacing, particularly if required urgently, is usually non-invasive and takes the form of percussion or transcutaneous pacing. […] Any bradycardia causing haemodynamic compromise and unresponsive to atropine. […] This is most appropriate in the setting of ventricular standstill where there is evidence of P wave activity, used as an alternative to CPR. […] Pacing pads can be rapidly applied and operated easily by medical and paramedical staff.

• #31 Bradycardia – EMCrit Project

  https://emcrit.org/ibcc/bradycardia/

  Bradycardia is dangerous: physiology review. […] General approach to treatment. […] Medical treatments: Atropine glycopyrrolate, Epinephrine, Calcium, Other medications. […] Electrical treatments: Transcutaneous pacing, Transvenous pacing, ECG interpretation with a pacemaker. […] Initial supportive care is similar to the treatment of bradycardia in general. […] For persistent sinus node dysfunction, consider the placement of a permanent pacemaker. […] Atropine is traditionally the 1st-line medical therapy. However, for very unstable patients, epinephrine is more reliably effective and may be preferable. […] Epinephrine is available everywhere and can be obtained quickly. […] Epinephrine infusion: The usual dose is 2-10 mcg/min. […] Transcutaneous pacing is often the fastest strategy to increase the heart rate. […] Transvenous pacing is the most invasive strategy, but also the most effective (with success rates 95%).

• #32 How slow does the heart rate need to be before seeing a doctor? | Bangkok Heart Hospital

  https://www.bangkokhospital.com/en/bangkok-heart/content/bradycardia-treatment

  Transcutaneous Pacing External temporary cardiac pacing, effective in emergencies but not for long-term use, as the patient would be prone to twitching and pain from continuous shocks in the chest area. […] Transvenous Temporary Pacing Temporary cardiac pacing via veins, inserting a Lead through a vein (Jugular Vein) or subclavian vein (Subclavian Vein) with the end of the wire in the right ventricle. […] Permanent Pacemaker Implantation Permanent automatic cardiac pacemaker implantation for patients with Sinus Node Dysfunction showing symptoms when the heart beats slowly and for Advanced 2nd degree AVB or Complete Heart Block patients. […] If the slow heart rate is paired with symptoms like weakness, fainting, lightheadedness, syncope, or easy fatigue when exerting, immediately consult a cardiologist for accurate diagnosis and timely treatment to reduce the risk of acute heart failure and sudden death. […] Bangkok Arrhythmia Clinic, Bangkok Heart Hospital provides care for bradycardia by specialized cardiologists and experienced multidisciplinary teams, along with modern medical equipment, to restore patients to good heart health.

• #33 Bradycardia: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17841-bradycardia

  If you have bradycardia but don’t have any symptoms, it’s unlikely that you need treatment. For those who do have symptoms, bradycardia is almost always treatable and is sometimes curable. If you have bradycardia because of another medical condition, sometimes treating that condition is all it takes to stop your bradycardia. An example of this is when you have bradycardia because of a medication you’re taking. […] There are two primary ways to treat bradycardia. […] If bradycardia is causing significant problems such as dangerously low blood pressure, an intravenous (IV) or injectable medication such as atropine can cause your heart to beat faster. Treatments like this are usually hospital-specific because people receiving these medications may need monitoring and additional care. […] For many people with bradycardia, a permanent pacemaker is the best way to treat this condition. This is especially effective with conditions like sick sinus syndrome, where your heart’s natural pacemaker cells aren’t working properly.

• #34 Bradycardia: Symptoms, Causes, Treatment | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/bradycardia

  In severe cases of bradycardia, treatment may require a pacemaker. These devices are surgically implanted and attached to the heart. A pacemaker can help prevent a heart from beating too slowly by pulsing electrical signals at the right time and with the correct strength. When a heart begins to beat too slowly, the pacemaker emits an electric signal that causes the heart to beat faster. […] Depending on the severity and source of your bradycardia, you may be able to recover by treating an underlying cause. However, in many cases, bradycardia is treated and managed rather than cured or fixed. Treatments often involve heart-healthy lifestyle changes and may include a surgically implanted pacemaker in more serious cases.

• #35 Sinus Bradycardia Treatment & Management: Prehospital Care, Emergency Department Care, Long-Term Monitoring

  https://emedicine.medscape.com/article/760220-treatment

  Intravenous access, supplemental oxygen, and cardiac monitoring should be initiated in the field. […] In symptomatic patients, intravenous atropine may be used. […] In rare cases, transcutaneous pacing may need to be initiated in the field. […] Care in the ED should first rapidly ensure the stability of the patient’s condition. This is followed by an investigation into the underlying cause of the bradycardia. […] Patients in unstable condition may require immediate endotracheal intubation and transcutaneous or transvenous pacing. […] In sick sinus syndrome, drug therapy approaches have been relatively disappointing. While atropine has aided some patients transiently, most patients ultimately require placement of a pacemaker. […] According to the ESC guidelines, pacing is indicated if a patient displays symptoms that are clearly caused by sinus bradycardia.

• #36 Bradycardia | Diagnosis & Disease Information – The Cardiology Advisor

  https://www.thecardiologyadvisor.com/ddi/bradycardia/

  For patients who exhibit bradycardia without reversible causes, permanent pacing is the primary treatment approach. […] Permanent pacing is recommended for all symptomatic patients with bradycardia attributable to AV block, regardless of type. […] Conduction disorders are typically managed with permanent pacing. […] According to the ACC/AHA/HRS guidelines, permanent pacing is recommended for patients with syncope, bundle branch block, and those at high risk for AV block.

• #37 Bradycardia | Diagnosis & Disease Information – The Cardiology Advisor

  https://www.thecardiologyadvisor.com/ddi/bradycardia/

  For patients who exhibit bradycardia without reversible causes, permanent pacing is the primary treatment approach. […] Permanent pacing is recommended for all symptomatic patients with bradycardia attributable to AV block, regardless of type. […] Conduction disorders are typically managed with permanent pacing. […] According to the ACC/AHA/HRS guidelines, permanent pacing is recommended for patients with syncope, bundle branch block, and those at high risk for AV block.

• #38 Bradycardia | Diagnosis & Disease Information – The Cardiology Advisor

  https://www.thecardiologyadvisor.com/ddi/bradycardia/

  For patients who exhibit bradycardia without reversible causes, permanent pacing is the primary treatment approach. […] Permanent pacing is recommended for all symptomatic patients with bradycardia attributable to AV block, regardless of type. […] Conduction disorders are typically managed with permanent pacing. […] According to the ACC/AHA/HRS guidelines, permanent pacing is recommended for patients with syncope, bundle branch block, and those at high risk for AV block.

• #39 Bradycardia | Diagnosis & Disease Information – The Cardiology Advisor

  https://www.thecardiologyadvisor.com/ddi/bradycardia/

  For patients who exhibit bradycardia without reversible causes, permanent pacing is the primary treatment approach. […] Permanent pacing is recommended for all symptomatic patients with bradycardia attributable to AV block, regardless of type. […] Conduction disorders are typically managed with permanent pacing. […] According to the ACC/AHA/HRS guidelines, permanent pacing is recommended for patients with syncope, bundle branch block, and those at high risk for AV block.

• #40 Bradycardia Causes, Symptoms, and Treatment

  https://www.upmc.com/services/heart-vascular/conditions/bradycardia

  A pacemaker is a small battery-powered device that is permanently implanted under your skin. It sends electrical signals to start or regulate a slow heartbeat. […] Your doctor will follow up with you to see how well you are responding to nonsurgical treatments. If nonsurgical treatment isn’t effective enough your doctor may recommend getting a pacemaker or ICD. These devices are more than 95 percent effective for treating abnormal heart rhythms.

• #41 Bradycardia: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17841-bradycardia

  While a permanent pacemaker can’t cure this condition entirely, it can be a long-term solution that treats this condition and keeps it from being a problem. Most pacemakers can last for several years, and some have batteries that can last more than a decade. […] Receiving a permanent pacemaker usually involves surgery to implant the pacemaker device, which will deliver electrical pulses to your heart muscle. […] For some people, surgery to implant a pacemaker is potentially avoidable. That’s because there are newer leadless pacemakers for bradyarrhythmias that are implantable using a catheter-based procedure. This procedure involves using a tube-like catheter device that a doctor inserts through an incision made into a major blood vessel. The provider can then steer the catheter up to and into your heart, where they can implant the pacemaker directly inside. These devices are very small (not much bigger than a large multivitamin pill), and you can go home much sooner than you would with surgery.

• #42 Bradycardia: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17841-bradycardia

  While a permanent pacemaker can’t cure this condition entirely, it can be a long-term solution that treats this condition and keeps it from being a problem. Most pacemakers can last for several years, and some have batteries that can last more than a decade. […] Receiving a permanent pacemaker usually involves surgery to implant the pacemaker device, which will deliver electrical pulses to your heart muscle. […] For some people, surgery to implant a pacemaker is potentially avoidable. That’s because there are newer leadless pacemakers for bradyarrhythmias that are implantable using a catheter-based procedure. This procedure involves using a tube-like catheter device that a doctor inserts through an incision made into a major blood vessel. The provider can then steer the catheter up to and into your heart, where they can implant the pacemaker directly inside. These devices are very small (not much bigger than a large multivitamin pill), and you can go home much sooner than you would with surgery.

• #43 Bradycardia: Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/heart/arrhythmias/bradycardia/treatment

  Bradycardia treatment depends on the type, symptom severity, and underlying cause of the abnormal heart rate. Treatment options generally include surgical procedures (pacemakers), dietary/lifestyle changes, and medication. […] A pacemaker is a small device surgically placed under the skin in the chest area with leads (wires) that connect the device to the heart via the bloodstream to control the heartbeat. It sends electrical impulses that cause the heart muscles to contract and pump blood. Some pacemakers are now leadless and are directly implanted into the heart. […] It is exceedingly rare to treat symptomatic bradycardia medically. However, sometimes bradycardia is temporary, and certain medications may be prescribed to combat specific forms of bradycardia or an underlying cause. Atropine, for example, may be useful in treating sinus bradycardia and certain types of AV blocks. Bradycardia medications for conditions that affect the heart, such as hypothyroidism or to treat high blood pressure, Lyme disease, and AV block may also be needed.

• #44 Bradycardia (Low Heart Rate): Symptoms, Causes, and Treatment

  https://www.webmd.com/heart-disease/atrial-fibrillation/bradycardia

  If you have a sick sinus syndrome, your heart’s natural pacemaker doesn’t work, so you may need surgery to implant a permanent pacemaker into your chest. Leadless pacemakers are now available that your surgeon can insert with a minimally invasive procedure. These pacemakers are very small, and you will usually need less recovery time after one is inserted.

• #45 Treatment for Bradycardia – Hope For Hearts

  https://hopeforhearts.com.au/arrhythmias/bradycardia/treatment-for-bradycardia/

  In patients who have a slow heart rate and require pacemaker implantation, some may receive a Cardiac Resynchronisation Therapy (CRT) pacemaker. These devices are specifically used for people who have also been diagnosed with heart failure. A CRT pacemaker aims to re-synchronise the left and right ventricles, to improve cardiac function. A third lead is implanted and works to re-synchronise both ventricles to work together and improve cardiac output.

• #46 Bradycardia: Symptoms, Causes, Treatment | Mass General Brigham

  https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/bradycardia

  Bradycardia can result from many causes. In general, the more potential risks a person has, the higher the chance of developing bradycardia. Some common low heart rate causes include: […] Doctors have a variety of ways to treat bradycardia, depending on the circumstances and the severity. In cases with minimal to no symptoms, treatment may not be needed. In cases where another illness or condition causes bradycardia, treatment of the bradycardia will often require treatment of the underlying condition. […] Bradycardia treatments can range from lifestyle changes to medications and surgery. […] In some cases of less severe bradycardia, doctors may recommend healthy lifestyle changes. These changes generally focus on heart-healthy habits: quitting smoking, reducing alcohol intake, increasing exercise, and following a healthy diet.

• #47 Bradycardia: Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/heart/arrhythmias/bradycardia/treatment

  The onset of bradycardia can come from an unhealthy diet and lifestyle habits that damage the heart. Quitting smoking, drinking in moderation, eating heart-healthy foods, regular exercise, and lowering your stress and anxiety levels can decrease your chances of developing heart conditions that lead to bradycardia.

• #48 Understanding Bradycardia: Causes, Symptoms, and Treatment Options

  https://avicennacardiology.com/treatment/bradycardia/

  How is Bradycardia Treated? […] The treatment of bradycardia depends on its severity and underlying cause. Common strategies to treat bradycardia include: […] 1. Lifestyle Changes […] Eating a healthy diet rich in fruits, vegetables, and whole grains […] Avoiding recreational drugs and limiting alcohol intake […] Maintaining a healthy weight and staying physically active […] 2. Adjusting Medications […] If bradycardia is caused by certain medications (e.g., beta blockers or calcium channel blockers), a doctor may adjust the dosage or prescribe alternatives. […] 3. Addressing Underlying Conditions […] Treating conditions such as low thyroid function, obstructive sleep apnea, or infections can often resolve bradycardia. […] 4. Permanent Pacemaker […] For severe cases, especially when the heart cannot regulate its own heartbeat, a permanent pacemaker may be implanted. This device generates electrical impulses to ensure a consistent heart rate.

• #49 Understanding Bradycardia: Causes, Symptoms, and Treatment Options

  https://avicennacardiology.com/treatment/bradycardia/

  […] […] Managing Bradycardia […] Managing bradycardia involves a multifaceted approach that includes lifestyle modifications, medical treatments, and diligent self-care. Here are some effective strategies to manage bradycardia: […] 1. Lifestyle Changes: Adopting a heart-healthy lifestyle is crucial. This includes maintaining a healthy weight, engaging in regular physical activity, and managing stress through techniques such as meditation or yoga. A balanced diet rich in fruits, vegetables, and whole grains can also support heart health. […] 2. Medications: In some cases, medications like atropine or isoproterenol may be prescribed to increase the heart rate. These drugs can help manage symptoms and improve the heart’s ability to pump blood effectively. […] 3. Pacemakers: For individuals with severe bradycardia, a pacemaker may be necessary. This small device is implanted in the chest and helps regulate the heart rate by sending electrical impulses to prompt the heart to beat at a normal rate.

• #50 Bradycardia with a Pulse Algorithm – ACLS.com

  https://acls.com/articles/bradycardia-algorithm/

  Assess clinical condition. Perform an assessment for a clinical condition. A heart rate less than 50 beats per minute is more likely to be symptomatic. […] Identify and treat underlying cause. Maintain the airway and give the patient oxygen if indicated. Place the patient on cardiac monitors to identify the rhythm and monitor blood pressure and oxygen saturation. Next, obtain a 12-lead ECG and establish IV access. Its important to determine whether the bradycardia is causing the patients symptoms or if some other illness is causing the bradycardia. Treat any underlying cause. […] Yes. Administer drug treatment. If the patient has poor perfusion, administer .5 milligrams of atropine through the IV every 3 to 5 minutes until a maximum of 3 milligrams have been given. If the atropine is ineffective, implement transcutaneous pacing or administer a dopamine infusion of 2 to 20 micrograms per kilogram per minute or an epinephrine infusion of 2 to 10 micrograms per minute. Titrate to the patients response.

• #51 ACLS Bradycardia Algorithm | Causes & Treatments – Heart Start CPR

  https://heartstartcpr.net/bradycardia-acls-algorithm/

  The treatment of bradycardia depends on the clinical condition, symptoms, and the underlying cause of the slow heartbeat of a patient. The treatment is based on controlling the symptoms and identifying the cause using the Hs and Ts of the bradycardia Advanced Cardiac Life Support algorithmic approach. […] If the patient has symptomatic bradycardia with poor perfusion, consider atropine or transcutaneous pacing. […] Epinephrine and dopamine are second-line drugs for symptomatic bradycardia. If atropine is ineffective or not indicated, consider using a medication like dopamine or epinephrine to increase heart rate and improve cardiac output. […] In cases of severe bradycardia, unresponsive to medications, or if the patient remains unstable, temporary transcutaneous pacing may be necessary.

• #52 Sinus Bradycardia Treatment & Management: Prehospital Care, Emergency Department Care, Long-Term Monitoring

  https://emedicine.medscape.com/article/760220-treatment

  If sinus bradycardia is asymptomatic or produced by a reversible cause, according to the guidelines, pacing is not indicated. […] In patients with sinus bradycardia secondary to therapeutic use of digitalis, beta-blockers, or calcium channel blockers, simple discontinuation of the drug, along with monitored observation, are often all that is necessary. Occasionally, intravenous atropine and temporary pacing are required. […] Treatment of postinfectious bradycardia usually requires permanent pacing. […] In patients with hypothermia who have confirmed sinus bradycardia with a pulse, atropine and pacing are usually not recommended because of myocardial irritability. Rewarming and supportive measures are the mainstays of therapy. […] Treatment of inadequate perfusion would include pressors, atropine, and pacing. […] Regular follow-up care is necessary for patients in whom a permanent pacemaker is placed.

• #53 Sinus Bradycardia Treatment & Management: Prehospital Care, Emergency Department Care, Long-Term Monitoring

  https://emedicine.medscape.com/article/760220-treatment

  If sinus bradycardia is asymptomatic or produced by a reversible cause, according to the guidelines, pacing is not indicated. […] In patients with sinus bradycardia secondary to therapeutic use of digitalis, beta-blockers, or calcium channel blockers, simple discontinuation of the drug, along with monitored observation, are often all that is necessary. Occasionally, intravenous atropine and temporary pacing are required. […] Treatment of postinfectious bradycardia usually requires permanent pacing. […] In patients with hypothermia who have confirmed sinus bradycardia with a pulse, atropine and pacing are usually not recommended because of myocardial irritability. Rewarming and supportive measures are the mainstays of therapy. […] Treatment of inadequate perfusion would include pressors, atropine, and pacing. […] Regular follow-up care is necessary for patients in whom a permanent pacemaker is placed.

• #54 Bradycardia – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bradycardia/symptoms-causes/syc-20355474

  Bradycardia can be a serious problem if the heart rate is very slow and the heart can’t pump enough oxygen-rich blood to the body. […] If bradycardia is severe, a pacemaker may be needed to help the heart beat at an appropriate rate. […] To better understand the causes of bradycardia, it may help to know how the heart typically beats. […] Bradycardia happens when these signals slow down or are blocked. […] Follow your treatment plan. Be sure you understand your treatment. Take all medicines as directed by your healthcare team. […] Tell your care team if your symptoms change. Also tell the healthcare team if you have new symptoms.

• #55 Societies Publish New Guidance for the Treatment of Slow, Irregular Heartbeats – HRS

  https://www.hrsonline.org/news/press-releases/societies-publish-new-guidance-treatment-slow-irregular-heartbeats

  The American College of Cardiology, the American Heart Association and the Heart Rhythm Society today released a guideline for the evaluation and treatment of patients with bradycardia, or a slow heartbeat, and cardiac conduction disorders. […] These recommendations include the selection and timing of diagnostic testing tools including monitoring devices and electrophysiological testing as well as available treatment options such as lifestyle interventions, pharmacotherapy and external and implanted devices, particularly pacing devices. […] The guideline includes recommendations on post-procedure surveillance and pacemaker implantation. […] Treatment decisions are based not only on the best available evidence but also on the patient;s goals of care and preferences said Fred M. Kusumoto, MD, cardiologist at Mayo Clinic Florida in Jacksonville and chair of the writing committee. […] Regardless of technology, for the foreseeable future, pacing therapy requires implantation of a medical device, and future studies are warranted to focus on the long-term implications associated with lifelong therapy.

• #56 Bradycardia | Diagnosis & Disease Information – The Cardiology Advisor

  https://www.thecardiologyadvisor.com/ddi/bradycardia/

  For patients who exhibit bradycardia without reversible causes, permanent pacing is the primary treatment approach. […] Permanent pacing is recommended for all symptomatic patients with bradycardia attributable to AV block, regardless of type. […] Conduction disorders are typically managed with permanent pacing. […] According to the ACC/AHA/HRS guidelines, permanent pacing is recommended for patients with syncope, bundle branch block, and those at high risk for AV block.

• #57 Sinus Bradycardia Treatment & Management: Prehospital Care, Emergency Department Care, Long-Term Monitoring

  https://emedicine.medscape.com/article/760220-treatment

  Intravenous access, supplemental oxygen, and cardiac monitoring should be initiated in the field. […] In symptomatic patients, intravenous atropine may be used. […] In rare cases, transcutaneous pacing may need to be initiated in the field. […] Care in the ED should first rapidly ensure the stability of the patient’s condition. This is followed by an investigation into the underlying cause of the bradycardia. […] Patients in unstable condition may require immediate endotracheal intubation and transcutaneous or transvenous pacing. […] In sick sinus syndrome, drug therapy approaches have been relatively disappointing. While atropine has aided some patients transiently, most patients ultimately require placement of a pacemaker. […] According to the ESC guidelines, pacing is indicated if a patient displays symptoms that are clearly caused by sinus bradycardia.

• #58 Sinus Bradycardia Treatment & Management: Prehospital Care, Emergency Department Care, Long-Term Monitoring

  https://emedicine.medscape.com/article/760220-treatment

  If sinus bradycardia is asymptomatic or produced by a reversible cause, according to the guidelines, pacing is not indicated. […] In patients with sinus bradycardia secondary to therapeutic use of digitalis, beta-blockers, or calcium channel blockers, simple discontinuation of the drug, along with monitored observation, are often all that is necessary. Occasionally, intravenous atropine and temporary pacing are required. […] Treatment of postinfectious bradycardia usually requires permanent pacing. […] In patients with hypothermia who have confirmed sinus bradycardia with a pulse, atropine and pacing are usually not recommended because of myocardial irritability. Rewarming and supportive measures are the mainstays of therapy. […] Treatment of inadequate perfusion would include pressors, atropine, and pacing. […] Regular follow-up care is necessary for patients in whom a permanent pacemaker is placed.

• #59 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Bradycardia-Treatment.aspx

  According to the American College of Cardiology and American Heart Association guidelines, the implantation of a pacemaker is only indicated in certain conditions. […] The use of a pacemaker is not usually recommended when bradycardia only occurs during sleep, even if the bradycardia is severe. These patients may benefit from pindolol, a beta blocker with intrinsic sympathomimetic activity. […] Patients with imminent heart failure or unstable patients with bradycardia need immediate treatment. The drug of choice is usually atropine 0.51.0 mg given intravenously at intervals of 3 to 5 minutes, up to a dose of 0.04 mg/kg. Other emergency drugs that may be given include adrenaline (epinephrine) and dopamine.

• #60 Treatment

  http://www.cardiosmart.org/topics/bradycardia/treatment

  Treatment will depend on how slow your heart rate is, what might be causing it and any complications. In some cases, bradycardia can result in fainting episodes, dangerous falls or even seizures and sudden death due to long pauses between heartbeats. […] Some people may not need to do anything for their slow heart rate. For others, treatments may include: Treating an underlying condition(s) […] Pacemaker (usually if there is irreversible damage to the heart’s electrical system and in older people). […] Lifestyle changes are key for managing any heart condition. […] Your goals for treatment matter, too. Be sure to tell your doctor about your values and what you prefer for treatment.

• #61 Sinus Bradycardia: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/22473-sinus-bradycardia

  Sinus bradycardia is typically treatable with medications or a permanent pacemaker. […] Treating sinus bradycardia can happen in two main ways for people who have symptoms: Medication or devices that use electrical energy to artificially stimulate your heart muscle (commonly known as pacemakers). […] Permanent pacemakers, devices that a cardiologist or surgeon can implant in your chest, can deliver an electric current to make your heart beat properly. […] Medication may be an option depending on the cause of your sinus bradycardia especially if that cause means its likely a temporary problem. […] Your healthcare provider is the best person to tell you what side effects to expect from any treatments, medications or procedures to treat your sinus bradycardia. […] Sinus bradycardia usually doesnt need treatment unless you have symptoms. […] You should start feeling better soon after you receive effective treatment for sinus bradycardia (either medications or temporary pacing). […] If you have symptoms, quick diagnosis and treatment can make a big difference in how this condition affects you, though.

• #62 Bradycardia: Symptoms, Causes and Treatment | Banner Health

  https://www.bannerhealth.com/services/heart/heart-disease/rhythm-disorders/bradycardia

  Heart-healthy habits like quitting smoking, reducing alcohol intake, increasing exercise and following a healthy diet can help. […] A pacemaker may be needed if the hearts electrical system isnt working well. A pacemaker is a small device that helps control your heart rate by sending electrical signals to the heart. It is surgically implanted (placed inside the body) and attached to the heart. […] Getting treatment for bradycardia can help prevent these problems. If you have symptoms, talk to your health care provider right away. […] At Banner Health, were dedicated to helping you understand and manage bradycardia. Our expert team of cardiologists and specialists can help diagnose and treat heart conditions. Whether you need tests, medication or a pacemaker, we provide the care you need to feel better.

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