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Bradycardia (< 60 bpm)

Updated: Sep 19, 2024

CLINICAL DIAGNOSTIC MANUAL



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

Cause

Symptoms and Signs

Diagnostic Tests

Athlete’s Heart

Heart adaptation to training

Minimal symptoms, physiological bradycardia

Medications

Side effects of certain medications

Fatigue, dizziness, syncope

Sinoatrial Node Disease

Sinus node dysfunction

Dizziness, weakness, syncope

Ventricular or Supraventricular Bigeminy

Arrhythmias such as bigeminy

Palpitations, dizziness

Acute Myocardial Infarction

Acute myocardial infarction

Chest pain, fatigue, sweating

Hypothyroidism

Decreased thyroid function

Fatigue, cold intolerance

Hypothermia

Decrease in body temperature

Confusion, shivering, cold skin

Severe Electrolyte Imbalances

Electrolyte disturbances, especially low potassium levels

Muscle weakness, palpitations


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