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Note: Often a physical sign rather than an abnormal rhythm * Rate: <60 beats per minute (when symptomatic and bradycardia is the cause of symptoms, the rate is generally <50 beats per minute)
Inappropriate parasympathetic discharge can cause symptomatic bradycardia and hypotension.
AV Block With Inferior MI Acute inferior wall myocardial infarction (usually a right coronary artery event) may result in symptomatic second-degree or third-degree AV block with a junctional, narrow-complex escape rhythm.
Monitor the patient and prepare for TCP if high-degree block develops and the patient becomes symptomatic or unstable before expert cardiology evaluation.
* If the bradycardia is symptomatic, follow the Bradycardia Algorithm.
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