Reversible causes of Bradycardia

BRADI mnemonic for reversible causes of bradycardia

1. BRASH/hyperkalemia

Isolated hyperkalemia

BRASH syndrome (Bradycardia, Renal failure, AV node blockade, Shock and Hyperkalemia)

2. Reduced vital signs

Hypoxia

Hypoglycemia

Hypothermia +/- hypothyroid

3. Acute coronary occlusion

Inferior MI: nodal ischemia and vagal response, self-limiting or responds to atropine

Anterior MI: infranodal ischemia, often requires pacing

4. Drugs: withdraw if stable, reverse if unstable

Beta-blockers

Calcium channel blockers

Digoxin

5. Intracranial pressure, Infection (Lyme, endocarditis): treat underlying

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