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Bradycardia

Writer: Dr Fernando HidalgoDr Fernando Hidalgo

DIFFERENTIAL DIAGNOSIS MANUAL


Bradycardia, a heart rate below 60 beats per minute (bpm), can be a challenging clinical phenomenon. Various causes may be at play, and understanding them is crucial for accurate diagnosis and effective management. Below, we explore some of the most common causes of bradycardia and how to identify them.



Causes

Symptoms and Signs

Diagnostic Tests

Athlete’s Heart

Heart adaptation to training

Minimal symptoms, physiological bradycardia

Medications

Side effects of certain drugs

Fatigue, dizziness, syncope

Sinoatrial Disease

Sinus node dysfunction

Dizziness, weakness, syncope

Ventricular or Supraventricular Bigeminy

Arrhythmias like bigeminy

Palpitations, dizziness

Acute Myocardial Infarction

Acute myocardial infarction

Chest pain, fatigue, sweating

Hypothyroidism

Decreased thyroid function

Fatigue, cold intolerance

Hypothermia

Lowered body temperature

Confusion, shivering, cold skin

Severe Electrolyte Imbalances

Electrolyte imbalances, especially low potassium levels

Muscle weakness, palpitations


 
 
 

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