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Sinus Bradycardia

The heart rate usually slows down in athletes. You may experience sinus bradycardia during sleep or vagally-induced sinus bradycardia during the Valsalva maneuver. Lone sinus bradycardia in a normal heart usually does not require any type of intervention. On the other hand, patients with moderate-large holes in the heart (ASD), complex congenital heart defects, or those who underwent heart surgery will require further work-up to determine if a pacemaker is indicated, especially if there are associated symptoms.

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