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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.
Slow Heart Beat (Bradycardia) An abnormally slow sinus heart rate is called the âsick sinus syndromeâ and, if severe, results in symptoms of fatigue. In some such cases a permanent pacemaker is needed to be implanted to generate a normal heart rate. Many people with sick sinus syndrome also develop atrial fibrillation.