We’ve covered tachycardias, both narrow and broad before, but we need to complete the set, so we’ll be looking this time at the slower end of the spectrum with bradycardias.

Bradycardias can be a physiological state in some physically fit patients, but they could be of more concern in others.

They occur due to a multitude of reasons, some cardiac and some not and they can require no treatment at all right up to those peri-arrest patients where you’ll be cracking open your critical care drugs and starting to pace them externally before getting them to definitive care.

In this episode we take an in-depth look at the cause, electrophysiological pathways, assessment and treatments for bradycardias.


Simon, Rob & James

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2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy

RCUK; Adult Bradycardia Algorithm

RCEMLearning; Bradycardia

Inter- and intraindividual variability in daily resting heart rate and its associations with age, sex, sleep, BMI, and time of year: Retrospective, longitudinal cohort study of 92,457 adults. Giorgio Quer. PLoS One. 2020


LITFL; Bradycardia DDx

Course Content


  • Joanna Rogers says:

    I love it! Thank you for making it enjoyable to take in ☺️ After 20yrs in the service, this made complete sense, informative and kept me interested – absolutely awesome, well done chaps!

  • petesletterbox says:

    Really informative and well presented session, thank you

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