Telemetry Certification Practice Test

A decrease in automaticity primarily affects the heart's ability to generate electrical impulses that trigger contractions. Automaticity is the heart's intrinsic ability to initiate electrical impulses without external stimulation, which is vital for maintaining a consistent heart rhythm.

When automaticity decreases, the heart may fail to generate enough impulses, potentially leading to slower heart rates, known as bradycardia. In more extreme cases, this can result in asystole, where there is a complete absence of electrical activity in the heart, leading to no heartbeats. Therefore, a decrease in automaticity significantly disrupts normal heart function, making bradycardias and asystole the most direct consequences of such a decline.

In contrast, the other options either incorrectly imply a beneficial effect of decreased automaticity, such as increasing cardiac output or leading to tachycardias, or they present a more general condition like arrhythmias that may result from various cardiac issues but do not directly address the specific impact of decreased automaticity.