A 65-year-old male presents with sudden onset of complete heart block on his 12-lead ECG. His heart rate is 30 bpm and blood pressure is 75/45 mmHg. H...

Question

A 65-year-old male presents with sudden onset of complete heart block on his 12-lead ECG. His heart rate is 30 bpm and blood pressure is 75/45 mmHg. He has received atropine 3 mg IV (maximum dose) with no improvement. Per the RCUK 2025 bradycardia algorithm, what are the second-line pharmacological options?

Accepted Answer

Isoprenaline infusion (5 micrograms/min starting dose) or adrenaline infusion (2-10 micrograms/min)

Answer

IV verapamil 5 mg

Answer

IV amiodarone 300 mg

Answer

IV adenosine 6 mg

Answer

IV digoxin loading dose

uk-dipimc MCQ (SBA): Refractory Bradycardia