Does the patient have the following?
-
Bifascicular block, PR interval prolongation ( > 0.24 msec)
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Bradycardia: HR < 55 bpm or symptomatic
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2nd or 3rd degree AV block without a pacemaker
-
Hypotension: SBP < 90 mmHg or symptoms
-
Asthma
-
Acute decompensated heart failure
-
Intolerance or allergy
NO
YES