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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.
a condition in which the heart rate is less than 60/min. Bradycardia takes the form of sinus bradycardia, sinus arrhythmia, and second- or third-degree atrioventricular block. Sinus bradycardia may be caused by excessive vagal tone, decreased sympathetic tone, or anatomical changes. It is common in athletes and is relatively benign.