Sinus Bradycardia

This is part of: Sinus node rhythms and arrhythmias

Sinusbradycardia
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Atrial rate	< 60 bpm
Ventricular rate	same
Regularity	regular
Origin	sinus node
P-wave	normal
Effect of adenosine	slows down
Example ECG: Sinusbradycardia of around 40 bpm.
Example ECG2:

In sinusbradycardia the sinus node fires at a slow (<60 bpm) rate. Causes of sinusbradycardia include:

• normal physiology in an athelete
• medication (beta-blockers)
• ischemia (typically inferior myocardial infarction with involvement of the sinus node artery)
• hypothermia
• hypothyroidism.