🐢 My heart rate is slow. Am I sick?

Sinus bradycardia is a condition in which the heart beats at a slower than normal rate, usually less than 60 beats per minute. It's important to note that not all individuals with sinus bradycardia have symptoms, and in many cases, this condition is normal in healthy individuals, especially athletes or those with a very active lifestyle.

Heart rate is regulated by the sinus node, which is the heart's natural pacemaker. Under normal conditions, this node generates electrical impulses that cause the heart to beat at a steady rate appropriate to meet the body's demands. However, in some cases, the sinus node may generate impulses slower than normal, resulting in a low heart rate.

There are multiple possible causes of sinus bradycardia. Some of the most common include:
- Heart diseases, such as coronary artery disease or diseases affecting the electrical system (sinus node disease, Lenegre's disease, or Lev's disease).
- Medications, such as beta-blockers or calcium channel blockers.
- Thyroid disorders (such as hypothyroidism), electrolyte imbalances, kidney disorders, among others.

In many cases, sinus bradycardia does not require treatment and is not a cause for concern. However, if you experience symptoms such as dizziness, fainting, extreme fatigue, or difficulty breathing, you may need treatment to increase your heart rate. It's important to consult your cardiologist for a detailed clinical evaluation 🩺 along with a 12-lead electrocardiogram, possibly a 24-hour Holter monitor, and an echocardiogram (cardiac ultrasound) to observe the heart's structure. All this information forms part of the necessary basic data to indicate appropriate treatment 💊.

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