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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.
If bradycardia is found to be the cause of syncope, and if the bradycardia is thought to be likely to recur, effective treatment can be provided by inserting a cardiac pacemaker. Either sinus bradycardia or heart block can produce significant bradycardia.