Bradycardia is a common finding during the clinical evaluationof both healthy patients and those who are ill. Bradycardiamay be caused either by intrinsic dysfunction of or damage tothe conduction system or by the response of normal tissues toextrinsic factors. In many cases, even profound bradycardiamay be asymptomatic and have no immediate or long-term pathologicimportance. In this article, we will briefly review the clinicalpresentation, pathophysiology, diagnostic evaluation, and treatmentof patients with bradycardia.
Clinical Presentation
Cardiac output is the left ventricular forward stroke volumemultiplied by the heart rate. Patients with bradycardia maybe asymptomatic if . . . [Full Text of this Article]
Normal Anatomy and Physiology of the Conduction System
Heart Rate in Normal Subjects
Sinus-Node Dysfunction
Atrioventricular-Conduction Disturbances
Evaluation
Management
Conclusions
Source Information
From the Cardiac Electrophysiology Laboratory, Cardiovascular Division, Department of Medicine, University of Virginia Health System, Charlottesville.
Address reprint requests to Dr. DiMarco at Box 158, University of Virginia Health System, Charlottesville, VA 22908, or at jdimarco@virginia.edu.
References
Related Letters:
Bradycardia
Mitlehner W., Bär W., Mangrum J. M., DiMarco J. P.
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N Engl J Med 2000;
343:513-514, Aug 17, 2000.
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