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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.
Sinus bradycardia is simply a slowing of the normal heart rhythm. Reversible causes of sinus bradycardia include hypothermia, hypothyroidism, anorexia nervosa, malnutrition, hypokalemia, and hypoxia. In an otherwise well child sinus bradycardia can be a non-pathological finding.