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Old 09-10-2013
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EKG Complete Heart Block Next Step in Management

Patient presented 4 hour after Inferior MI with dizziness. His ECG showed complete heart block .
How to treat :
- Permanent pacemaker
- Temporary pacemaker
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Old 09-10-2013
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Permanent pacemaker.
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Old 09-10-2013
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Can you add the guidelines? Thanks
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Old 09-11-2013
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Originally Posted by fares View Post
Patient presented 4 hour after Inferior MI with dizziness. His ECG showed complete heart block .
How to treat :
- Permanent pacemaker
- Temporary pacemaker
If the patient is symptomatic (that is he has syncope right now) then the next best step is to put a temporary transdermal pacemaker.

After controlling the situation OR having a stable patient then the next best step is to definitively solve the problem... that is put a Temporary pacemaker
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Old 09-14-2013
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Quote:
Originally Posted by XpaezX View Post
If the patient is symptomatic (that is he has syncope right now) then the next best step is to put a temporary transdermal pacemaker.

After controlling the situation OR having a stable patient then the next best step is to definitively solve the problem... that is put a Temporary pacemaker
They mentioned dizziness in the question?? So what is the next step?
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Old 09-14-2013
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They mentioned dizziness in the question?? So what is the next step?
I dont know? Probably read what I answered? Because I pretty much gave you an answer depending on the only 2 situations they can give you on the exam.
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Old 09-16-2013
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I had ccs in which the guy had hr 45 with symptoms of fatigue and syncope and he was prescribed metoprolol just a week back..so all I did as he presented intially was to give him atropine and glucagoun followed by ceasing the metoprolol..and he got fine
Its all in the ECG.. IF MOBITZ TYPE I or Brady..gv atropine if BP/HR BOTH LOW and if just HR low gv glyco..but these have effect of just minutes..so treat the cause
If mobit type 2 or complete jammy then in acute cases gv trandermal pacemkaer ..but the definative management is transvenous pacemaker after cardio consult..I guess am mostly right and able to help
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