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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.
Sick sinus syndrome, a group of disorders where the sinoatrial node fails to generate an appropriate heart rate, is another cause of bradycardia. The sinoatrial node is the pacemaker of the heart that sets the pace (or plays) of the heart.