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    Sinus-Bradycardia-Narrative EDITED

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    Ezequiel Rosales
    Sinus bradycardia occurs when the sinoatrial node fires at a slower than normal rate, causing the heart rate to decrease. It can be caused by factors like low metabolic needs, vagal stimulation, medications, idiopathic sinus node dysfunction, or coronary artery disease. Symptoms include lightheadedness, dizziness, hypotension, vertigo, and syncope. The prognosis is generally good if identified early by a healthcare provider and treated appropriately.

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    Sinus-Bradycardia-Narrative EDITED

    Uploaded by

    Ezequiel Rosales
    19 views2 pages
    Sinus bradycardia occurs when the sinoatrial node fires at a slower than normal rate, causing the heart rate to decrease. It can be caused by factors like low metabolic needs, vagal stimulation, medications, idiopathic sinus node dysfunction, or coronary artery disease. Symptoms include lightheadedness, dizziness, hypotension, vertigo, and syncope. The prognosis is generally good if identified early by a healthcare provider and treated appropriately.

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    Sinus bradycardia occurs when the sinoatrial node fires at a slower than normal rate, causing the heart rate to decrease. It can be caused by factors like low metabolic needs, vagal stimulation, medications, idiopathic sinus node dysfunction, or coronary artery disease. Symptoms include lightheadedness, dizziness, hypotension, vertigo, and syncope. The prognosis is generally good if identified early by a healthcare provider and treated appropriately.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    19 views2 pages

    Sinus-Bradycardia-Narrative EDITED

    Uploaded by

    Ezequiel Rosales
    Sinus bradycardia occurs when the sinoatrial node fires at a slower than normal rate, causing the heart rate to decrease. It can be caused by factors like low metabolic needs, vagal stimulation, medications, idiopathic sinus node dysfunction, or coronary artery disease. Symptoms include lightheadedness, dizziness, hypotension, vertigo, and syncope. The prognosis is generally good if identified early by a healthcare provider and treated appropriately.

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    Download as docx, pdf, or txt
    of 2

    Ezequiel L. Rosales Jr.

    BSN – III
    Sinus Bradycardia Narrative Pathophysiology
    Sinus Bradycardia happens when the SA node creates an impulse at a
    slower-than-normal rate (Cheever, H. 2018). The etiological factors of sinus
    bradycardia are the following; lower metabolic needs like sleep, athletic training, and
    hypothyroidism. It can also be due to vagal stimulation like from vomiting, suctioning,
    severe pain, medications like calcium channel blockers which includes nifedipine,
    amiodarone, betablockers. Idiopathic sinus node dysfunction, increased intracranial
    pressure, and coronary artery disease, especially myocardial infarction of the inferior
    wall can also be the cause. Unstable and symptomatic bradycardia is frequently
    brought by hypoxemia. Other possible causes include acute altered mental status
    (e.g., delirium) and acute decompensated heart failure (Fuster et al., 2011).

    The aforementioned etiological factors affect the heart’s normal conduction


    system unto failure of the impulse formation at the sinus node, impulse conduction at
    the atrioventricular node or bundle of His-Purkinje fibers. This will result into
    reduction of heart’s cardiac output, which leads to the development of its symptoms,
    such as; lightheadedness, dizziness, hypotension, vertigo, and syncope. The slow
    heart rate may also lead to atrial, junctional, or ventricular ectopic rhythms.

    The prognosis for sinus bradycardia is good if identified early by a health care
    provider. Treatment and supplementation may be implemented to lessen the
    occurrence of this disorder.

    References:

    Cheever, K. H., & Hinkle, J. L. (2018). Brunner & Suddarth's textbook of medical-
    surgical nursing. Philadelphia: Wolters Kluwer.

    Hafeez, Y. (2020, August 14). Sinus Bradycardia. Retrieved October 28, 2020, from
    https://www.ncbi.nlm.nih.gov/books/NBK493201/

    Mark W Livingston, M. (2019, November 12). Sinus Bradycardia. Retrieved October


    28, 2020, from https://emedicine.medscape.com/article/760220-overview

    Doenges, M., Moorhouse, M., & Murr, A. (2006). Nurses's pocket guide: Diagnoses,
    prioritized interventions, and rationales. Retrieved October 27, 2020, from
    https://www.amazon.com/Nurses-Pocket-Guide-Prioritized-
    Interventions/dp/0803644752

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