Episode 22: Bradycardia & Pacemakers – Medicine in English | MedVibe

When the heart’s natural metronome fails. From sinus node dysfunction to high-grade conduction blocks—knowing when to observe and when to call the electrophysiologist is a fundamental skill for every clinician.

In this episode of Medicine in English | MedVibe, we explore the management of Bradyarrhythmias. We discuss the physiological versus pathological causes of a slow heart rate, the acute pharmacological "bridge" therapies, and the clinical indications for different types of permanent pacemakers (Single vs. Dual-chamber vs. Leadless).

Inhalt dieser Folge:

• Pathophysiology: Sinus Node Dysfunction (SND), Sick Sinus Syndrome, and the Tachy-Brady phenomenon.

• Diagnostics: Correlating symptoms with the ECG—the role of 24-hour Holter monitoring, stress testing, and identifying "chronotropic incompetence."

• Therapeutic Standards: Acute stabilization with Atropine or Orciprenaline; navigating the ESC guidelines for permanent pacing (PPM) in symptomatic patients.

• Technology: Understanding Pacemaker nomenclature (NBG Code: VVI, DDD, etc.) and the future of pacing with "Leadless" systems and His-bundle pacing.

Target Audience: International doctors, cardiologists, emergency physicians, and residents in Internal Medicine seeking clinical excellence in English.

Patient Communication: Explaining the "Slow Battery" – describing the heart's natural pacemaker as a "battery" that is starting to run low or "wiring" that is becoming worn out, requiring an external "backup system" to ensure the heart never drops below a safe speed.

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Show Notes (Keywords):

1. Bradycardia

2. Sinus Node Dysfunction (SND)

3. Permanent Pacemaker (PPM)

4. Sick Sinus Syndrome

5. Chronotropic Incompetence

6. Atropine

7. Leadless Pacemaker

8. DDD vs. VVI Mode

9. Tachy-Brady Syndrome

10. Cardiac Electrophysiology

Hashtags:#Cardiology #Bradycardia #Pacemaker #Electrophysiology #EmergencyMedicine #InternalMedicine #MedEd #MedicalPodcast #HeartHealth #MedVibe