Drug-induced AV block / bradyarrhythmia in polypharmacy
HIGH-YIELD
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Teaching point
Second-degree (2:1) AV block in a polypharmacy patient is usually caused by AV-nodal blocking drugs: beta-blockers, digoxin, and rate-limiting calcium-channel blockers (verapamil/diltiazem). Identify the negatively chronotropic agent.
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