SAQ 748 – Cardiology – symptomatic bradyarrhythmia requiring transcutaneous pacing

Marked out of 12.00

A 72-year-old man presents after a brief syncopal episode at home.

He has hypertension and diabetes, is placed in a resuscitation cubicle, and has IV access and monitoring. The initial ECG and a later rhythm strip are shown.

Observation Value
BP 80/50 mmHg
RR 18/min
Temperature 37 C
SpO2 98% on room air
GCS 15
Initial ECG from a hypotensive patient with syncope and bradyarrhythmia.
Initial ECG
Rhythm strip after initiation of transcutaneous pacing.
Rhythm strip after pacing starts

What are the two (2) most likely underlying causes of this ECG abnormality?

(Marked out of 2.0)


/ 2

He does not respond to appropriate medications and electrolytes are normal. What is your next line of treatment?

(Marked out of 1.0)


/ 1

State five (5) key steps to initiate this treatment.

(Marked out of 5.0)


/ 5

After treatment begins, review the rhythm strip. State four (4) actions you would take in response.

(Marked out of 4.0)


/ 4

Total Score: 0 / 12

Percentage: 0%

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