Junctional bradycardia medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mugilan Poongkunran M.B.B.S [2]

Treatment of junctional bradycardia depends on the severity of presentation. Atropine can be used to manage symptomatic patients.

• Among healthy patients with heightened vagal tone, no treatment is necessary

• Avoid drugs that suppress the AV node as the junctional bradycardia may be the patient’s only escape rhythm.
• Treat symptomatic digitalis toxicity with atropine and digoxin immune Fab (Digibind).

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