Prevention of Bradycardia
Prevention of continued bradycardia relies upon an accurate diagnosis, whether a patient is stable or unstable, and whether he or she is symptomatic or asymptomatic. In those who are unstable with bradycardia, advanced life support (ACLS) protocols from the American Heart Association and those espoused by vascular experts are designed to prevent cardiac complications of such arrhythmias.
Prevention of bradycardia progressing to instability is by determining the pharmacologic efficacy of medications prescribed; the status of the bradycardia treatment can be followed by symptom appraisal and serial electrocardiography.
Thromboembolism can be prevented by echocardiography and, if indicated, anticoagulation. Heart blocks can be managed with artificial pacemakers.
Additionally, those with comorbidities should, where applicable:
- Stop smoking
- Maintain a target glycated hemoglobin A1c
- Look for equally effective medications when bradycardia is an untoward side effect of a replaceable medicine
- Attend to weight management and metabolic syndrome with the help of a dietitian/nutritionist
- Keep all follow-up appointments and report any new symptoms or changes in symptoms immediately