A 65-year-old man on ICU develops complete heart block following an inferior STEMI. His ventricular rate is 38 bpm with a narrow QRS escape rhythm. BP...

Question

A 65-year-old man on ICU develops complete heart block following an inferior STEMI. His ventricular rate is 38 bpm with a narrow QRS escape rhythm. BP is 95/60, and he is conscious but lightheaded. Atropine 600 mcg has been given with no response. What is the next step?

Accepted Answer

Transcutaneous pacing as a bridge to transvenous temporary pacing

Answer

Emergency permanent pacemaker insertion

Answer

IV adrenaline bolus 1 mg

Answer

IV amiodarone 300 mg

Answer

Carotid sinus massage

uk-fficm MCQ (SBA): Complete Heart Block - Inferior STEMI

A 65-year-old man on ICU develops complete heart block following an inferior STEMI. His ventricular rate is 38 bpm with a narrow QRS escape rhythm. BP is 95/60, and he is conscious but lightheaded. Atropine 600 mcg has been given with no response. What is the next step?