“So you’re saying that my slow heart rate could be the reason why I’m so tired?” said the LOL who had a rate of 28 in 3rd degree AV Block.
Gee, y’think? She was hemodynamicaly stable, BPs in 90’s and her only complaint was feeling, “a little tired.” It’s funny what the body can absorb. She was running a combination of extreme sinus brady with a huge PRI, and intermittent 3rd degree. To think that she had gotten metoprolol, a beta blocker which slow AV node conduction even more, earlier in the day. Someone wasn’t thinking!