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:

An example of sinusbradycardia

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

• Normal physiology in an athelete
• Medication (beta-blockers)
• Ischemia (typically inferior myocardial infarction with involvement of the sinus node artery)
• Hypothermia
• Hypothyroidism.
• Neuro-mediated bradycardia, such as in a vasovagal reaction