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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.
But if the sinus bradycardia is caused by intrinsic sinus node disease, or by some other medical problem that cannot be easily reversed, then treatment may include the placement of a pacemaker. 1  Read about living with a pacemaker. 2  Read about heart block, the other major cause of bradycardia.