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.Call to Action: New episodes are released every Monday and Thursday. Subscribe now for your clinical excellence!Links & Resources:Support the channel and access exclusive supplemental materials:https://www.patreon.com/cw/MedVibeWatch us on YouTube:https://www.youtube.com/channel/UCzq0lhUMy-r8PdVKR_TFGiwOther podcasts on Spotify:پزشکی به فارسی | MedVibe: https://open.spotify.com/show/5AtEPnjkkNdGwm2bxy4KUcMedizin auf Deutsch | MedVibe: https://open.spotify.com/show/3Ij5iBMOG1rGbTheW0Vqpy?si=U-0LKNNbQqipW-YAcX3pDwFSP Klinik-Boost | MedVibe: https://open.spotify.com/show/4FO5xRBUW53CS86WD156ZG?si=zBOuC-htQmyxEJuQezGQSwShow Notes (Keywords):BradycardiaSinus Node Dysfunction (SND)Permanent Pacemaker (PPM)Sick Sinus SyndromeChronotropic IncompetenceAtropineLeadless PacemakerDDD vs. VVI ModeTachy-Brady SyndromeCardiac ElectrophysiologyHashtags:#Cardiology #Bradycardia #Pacemaker #Electrophysiology #EmergencyMedicine #InternalMedicine #MedEd #MedicalPodcast #HeartHealth #MedVibe