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Bradycardia, also called bradyarrhythmia, is a resting heart rate under 60 beats per minute (BPM). [1] While bradycardia can result from various pathological processes, it is commonly a physiological response to cardiovascular conditioning or due to asymptomatic type 1 atrioventricular block.
Rhythm strip of sinus bradycardia at 50 bpm. Sinus bradycardia is commonly seen in normal healthy persons and athletes in the absence of pathophysiological diseases or conditions. [1] Different factors or etiologies could lead to the dysfunction of the sinus node, causing a malformation or prolongation of the impulse.
Often sinus node dysfunction produces no symptoms, especially early in the disease course. Signs and symptoms usually appear in more advanced disease and more than 50% of patients will present with syncope or transient near-fainting spells as well as bradycardias that are accompanied by rapid heart rhythms, referred to as tachycardia-bradycardia syndrome [4] [5] Other presenting signs or ...
Resting heart rate is often correlated with mortality. In the Copenhagen City Heart Study a heart rate of 65 bpm rather than 80 bpm was associated with 4.6 years longer life expectancy in men and 3.6 years in women. [27] Other studies have shown all-cause mortality is increased by 1.22 (hazard ratio) when heart rate exceeds 90 beats per minute. [7]
Wandering atrial pacemaker may be seen in young, healthy individuals as well as in the elderly and those with lung disease. [2] The cause of wandering atrial pacemaker is unclear. Increased tone from the vagus nerve may factor into the rhythm appearing in young, healthy individuals who exercise. The vagus nerve is a part of the parasympathetic ...
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The discussion of sinus bradycardia further clarifies the difference between sinus bradycardia in young athletes vs older adults. 3. A small suggestion, but I believe that the causes section would benefit from being divided under sub headings for cardiac and non cardiac causes. 4.
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