Question

In which situation does bradycardia require treatment?

- Diastolic BP greater than 90 mm Hg
- Systolic BP greater than 100 mm Hg
- 12 lead EKG showing normal sinus
- Hypotension

Answer 1

Bradycardia requires treatment when accompanied by symptoms such as dizziness, fatigue, or hypotension, which signals inadequate blood flow. Hypotension with bradycardia is critical and justifies medical intervention.

Step-by-step explanation:

Bradycardia, which is a condition where the resting heart rate drops below 60 beats per minute (bpm), requires treatment if it is accompanied by symptoms that may indicate the heart is not providing sufficient oxygenated blood to the tissues. These symptoms can include weakness, fatigue, dizziness, fainting, chest discomfort, palpitations, or respiratory distress.

Bradycardia may be caused by a variety of factors such as ischemia to the heart muscle, diseases of the heart vessels or valves, metabolic disorders, pathologies of the endocrine system, and others. For those with hypertension, treatment typically includes medications such as beta blockers, which can slow heart rate and lower blood pressure. In the scenario where bradycardia leads to hypotension, this may threaten organ perfusion and thus requires immediate medical intervention.