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Bloodpressure: 130/80 mmHg, heart rate: 45/min, respiratory rate: 18/min, SaO2: %98, body temperature: normal. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. Bi-phasic scan showed no dissection or pulmonary embolism. Peripheral pulses were all palpable.
PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.
They were unable to obtain a bloodpressure. His heart rate was in the low 20s and we were also unable to obtain a bloodpressure. He was given 50 mcg epinephrine with good response in both heart rate and bloodpressure. His rhythm on telemetry seemed to be sinus bradycardia vs junctional rhythm.
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