For a patient with symptomatic bradycardia and mechanical capture experiencing poor perfusion, what is the next best action?

In the scenario presented, the patient is experiencing symptomatic bradycardia accompanied by mechanical capture and poor perfusion. The correct response is to increase the rate by 10 BPM. This action is appropriate because, in cases of symptomatic bradycardia, especially when there is evidence of poor perfusion, it is crucial to improve the heart rate to enhance cardiac output and ensure adequate blood flow to vital organs.

Increasing the pacing rate by 10 BPM is a common practice in managing bradycardia, as it can provide a more immediate response in terms of hemodynamic stability. The goal is to achieve a heart rate that alleviates symptoms and improves perfusion status. Monitoring the patient closely after this adjustment allows for timely reassessment and further interventions if necessary.

In this context, adjusting the infusion rate or administering a fluid bolus may not directly address the root issue of the bradycardia and may not lead to the rapid improvements needed in perfusion.