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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.
Sinus bradycardia is a heart rhythm that originates from the sinus node and has a rate of under 60 beats per minute. Symptomatic sinus bradycardia may be due to a number of causes including dysfunction of the sinoatrial node, certain medications, and an underlying medical condition.