5th May 2025

Mrs Smith presented to hospital with chest pain and was found to have an inferior NSTEMI and underwent PCI.

Mrs Smith presented to hospital with chest pain and was found to have an inferior NSTEMI and underwent PCI. Following revascularization, she stayed on the Coronary Care Unit for observation. Whilst on the CCU, Mrs Smith suddenly develops a new bradycardia with a ventricular rate of 40 beats per minute with an associated drop in blood pressure. On review, she is awake but slightly drowsy. She has an arterial line in situ and peripheral venous access in place. You give one dose of Atropine 500mcg IV with no response. What is the most appropriate next step in her management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.