Bradycardia history and symptoms

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Bradycardia Microchapters

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Overview

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Differentiating Bradycardia from other Conditions

Epidemiology and Demographics

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Natural History, Complications and Prognosis

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History and Symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ibtisam Ashraf, M.B.B.S.[2]

Overview

Most patients with sinus bradycardia do not have symptoms or asymptomatic. Individuals who are present with symptoms can experience fatigue, exercise intolerance, lightheadedness, dizziness, syncope or presyncope, worsening of anginal symptoms, worsening of heart failure, or cognitive delay.

History and Symptoms

History

Patients with sinus bradycardia may have a positive history of:[1]

Common Symptoms

Common symptoms of sinus bradycardia include:

2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay[2]

Recommendation for History and Physical Examination in Patients With Documented or Suspected Bradycardia or Conduction Disorders

Class I
1.In patients with suspected bradycardia or conduction disorders a comprehensive history and physical examination should be performed. (Level of Evidence: C-EO)

References

  1. "StatPearls". 2020. PMID 29630253.
  2. Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR; et al. (2019). "2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 140 (8): e382–e482. doi:10.1161/CIR.0000000000000628. PMID 30586772.

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