If symptomatic, standard ACLS guidelines for symptomatic bradycardia includes
Atropine 0.5mg IV q3-5min PRN
Transcutaneous pacing, followed by transvenous pacing
Treat underlying etiology<unk> oid<unk>  nodal blocking agents (e.g. β-blockers)
Atropine 0.5mg IV q3-5min PRN
Transcutaneous pacing, followed by transvenous pacing
Second degree AV block type II
Differential includes ischemic events, electrolyte abnormalities, and medication overdoses in addition to rheumatologic conditions[3][4]
Third degree AV block
Anterior MI
First degree AV block
Rheumatic fever
Wide-complex tachycardia
Myocarditis