sinus bradycardia


  • basically anything can cause sinus bradycardia
  • normal: trained athletes, sleep
  • pathological:
    • right coronary ischemia
    • age related myocardial fibrosis
    • intracranial hypertension
    • postop scarring
    • infiltrative disease: sarcoidosis
    • sleep apnea: nocturnal bradycardia
    • electrolytes
    • hypothyroidism
    • medications
      • BB
      • donepezil, neostigmine, pyridostigmine
      • digoxin

Vagal mediated sinus bradycardia

  • sinus slowing and AV block points more to sinus node dysfunction1

Footnotes

  1. CHEST Board Review Critical Care?