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Sinus bradycardia can be the result of many things including good physical fitness, medications, and some forms of heart block. Sinus refers to the sinus node, the heart's natural pacemaker which creates the normal regular heartbeat.
Bradycardia is defined as a heart rate slower than the lower limit of normal for the patient's age. Mechanisms of bradycardia include depression of the pacemaker of the sinus node and conduction system blocks.