D Wyn Davies

Abstract

Symptomatic bradycardia is a common reason for presentation to Emergency Departments in the UK. Nevertheless, the acute management of bradycardia remains a cause for unnecessary anxiety and confusion among admitting physicians. This article reviews the aetiology, electrocardiographic appearances and management of the common defects of cardiac conduction which may manifest clinically as bradycardia. Particular attention is paid to bradycardia in the context of acute myocardial infarction and the role of temporary cardiac pacing.