====== Bradycardia ====== * Bradycardia is defined as a heart rate (HR) that is below normal for the given age. For an adult (18 years and older), the range of heart rate is usually 60--100 beats per minute (BMP). * Bradycardia = HR < 60 BPM ---- ===== Differential Diagnosis ===== ==== Cardiac ==== * **[[Acute coronary syndrome]] (ACS)** including [[myocardial infarction]] (MI) * **[[Pericarditis]]** * **[[Sick sinus syndrome]] (SSS)** * **[[Third-degree atrioventricular block|Third degree AV block]]** also known as complete heart block ==== Pulmonary ==== * **[[Hypoxia]]** * **[[Sleep apnea]]** ==== Neurological ==== * **[[Increased intracranial pressure]]** * **Vasovagal response** ==== Toxicology ==== * **[[Drug use and abuse]]:** narcotics, cannabinoids * **[[Medication overdose]]:** [[beta-blocker]], [[calcium channel blocker]], [[digoxin]] ==== Miscellaneous ==== * **Athletic** * **[[Hyperkalemia]]** * **[[Hypothermia]]** * **[[Hypothyroidism]]** ---- ===== References ===== * EBM Consult. [[https://www.ebmconsult.com/articles/differential-diagnosis-bradycardia#jump_ss_101211|Bradycardia: Differential Diagnosis]]. Retrieved on 2020-02-17. * Hafeez Y, Grossman SA. [[https://www.ncbi.nlm.nih.gov/books/NBK493201/|Sinus Bradycardia]]. StatPearls [Internet]. Last updated 2019-11-18 and retrieved on 2020-02-17. * Nickson C. [[https://litfl.com/bradycardia-ddx/|Bradycardia DDx]]. Life in the Fastlane. Last updated 2019-03-26 and retrieved on 2020-02-17.