SAQ 134 – Cardiology – bradyarrhythmia and complete heart block

A 64 year old man is being evaluated in your emergency department after an episode of chest pain which has now resolved.

He has been given aspirin only en route to hospital.

His observations are: BP 140/85 mmHg, RR 20 bpm, O2 saturation 97% room air.

An ECG is shown below, labelled ECG 1. A later ECG is also shown below, labelled ECG 2.

For ECG 1, state four (4) abnormal findings shown.

(Marked out of 4.0)

/ 4

List four (4) likely causes for these findings.

(Marked out of 4.0)

/ 4

The patient becomes suddenly unwell. He is lightheaded with no chest pain. His BP is 70/50 mmHg. He is given a 500 mL fluid bolus with no improvement. For ECG 2, state five (5) abnormal findings shown.

(Marked out of 5.0)

/ 5

List in order of escalation your first two (2) choices of drug treatment for this patient. For each specify dose and route.

(Marked out of 4.0)

Drug treatment	Dose and route
1st line
2nd line

/ 4

Total Score: 0 / 17

Percentage: 0%