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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 complex cardiac arrhythmia usually associated with syncope and manifested as severe sinus bradycardia alone, sinus bradycardia alternating with tachycardia (see bradycardia-tachycardia syndrome), or sinus bradycardia with atrioventricular block.