EKG

Sinus Bradycardia

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Sinus Bradycardia

  • See Also
  1. Bradycardia
  2. Unstable Bradycardia
  • Pathophysiology
  1. Normal pattern in healthy adults and athletes
    1. Baseline Bradycardia suggests physical conditioning
  2. Other causes of Sinus Bradycardia
    1. See Drug Induced Bradycardia
    2. Hypothermia
    3. Severe infection
    4. Jaundice
    5. Carotid Sinus Hypersensitivity
      1. Tight shirt collar
    6. Excessive parasympathetic stimulation
      1. Acute inferior wall Myocardial Infarction
    7. Decreased sympathetic stimulation (medications)
  • Diagnostics
  • EKG Findings
  1. Regular rhythm with rate at <50 to 60 beats per minute
  2. Normal and consistent P-wave morphology
  3. Normal PR-Interval duration
  • Differential Diagnosis
  1. See Bradycardia
  • Management
  1. Usually physiologic and requires no treatment
  2. If hemodynamically unstable, see Unstable Bradycardia
  • References
  1. Cardiopulmonary Resuscitation Guidelines
    1. http://www.circulationaha.org
    2. (2010) Guidelines for CPR and ECC [PubMed]
    3. (2000) Circulation, 102(Suppl I):86-9 [PubMed]