Template:Heart block management
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- If symptomatic, standard ACLS guidelines for symptomatic bradycardia to include[1]
- Atropine 0.5mg IV q3-5min PRN total dose of 3mg
- Transcutaneous pacing, followed by transvenous pacing
- Dopamine IV consider for low BP 3mcg/kg/minute titrate up to 20 mcg/kg/minute
- Dobutamine IV consider for heart failure at 5mcg/kg/minute titrate up to 20mcg/kg/minute if needed for HR and BP augmentation
- Treat underlying etiology
- Avoid AV nodal blocking agents (e.g. β-blockers)
- ↑ Sovari AA et al. Second-Degree Atrioventricular Block Treatment & Management. eMedicine. Apr 28, 2014. http://emedicine.medscape.com/article/161919-treatment#showall.