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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 tachycardia: a fast heart rate may occur with a normal heart rhythm, this is called sinus tachycardia. This means that the impulse generating the heart beats are normal, but they are occurring at a faster pace than normal. This is termed sinus tachycardia and is seen normally with exercise or with excitement.