Can you tell me in symptomatic bradycardic pts, are you going to go straight to pacing or give atropine?

Depends: It depends on 1) the symptoms and 2) the nature of the bradycardia. At best, atropine is just used temporarily until a pacemaker is inserted, never chronically. And it won't work if the reason is block below the junction. If that's the case and it's an emergency (shock or long pauses with intermittent consciousness), temporary pacing should be done (external or transvenous) til perm. pacer placed