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Review Article
Primary Care
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Volume 342:703-709 March 9, 2000 Number 10
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The Evaluation and Management of Bradycardia
J. Michael Mangrum, M.D., and John P. DiMarco, M.D., Ph.D.

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Bradycardia is a common finding during the clinical evaluation of both healthy patients and those who are ill. Bradycardia may be caused either by intrinsic dysfunction of or damage to the conduction system or by the response of normal tissues to extrinsic factors. In many cases, even profound bradycardia may be asymptomatic and have no immediate or long-term pathologic importance. In this article, we will briefly review the clinical presentation, pathophysiology, diagnostic evaluation, and treatment of patients with bradycardia.

Clinical Presentation

Cardiac output is the left ventricular forward stroke volume multiplied by the heart rate. Patients with bradycardia may be 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.
Extract | Full Text  
N Engl J Med 2000; 343:513-514, Aug 17, 2000. Correspondence

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