Ekg strip of atrial bradycardia

There are two different rates that can be determined on an ECG. The atrial rate is indicated by the frequency of the P waves. The ventricular rate is indicated by the frequency of the QRS complexes. In the absence of disease, the atrial rate should be the same as the ventricular rate.
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Sinus bradycardia

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Sinus bradycardia - Wikipedia

The rhythm is either sinus rhythm or not sinus rhythm. Sinus rhythm refers to the origination of the electrical activity coming from the sinus node — also known as the sinoatrial node, or SA node. The first ECG strip below shows a P wave with sinus morphology, thus normal sinus rhythm. If the P wave has a morphology different from the typical sinus morphology, it is termed ectopic, meaning coming from somewhere other than the sinus node. The second ECG strip below shows an ectopic atrial rhythm. If there is sinus rhythm, and the heart rate is less than 60 beats per minute, then sinus bradycardia is present.
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Determining Rhythm

Sinus bradycardia is a sinus node dysfunction with a rate that is lower than normal. In humans, bradycardia is generally defined to be a rate of under 60 beats per minute. The decreased heart rate can cause a decreased cardiac output resulting in symptoms such as lightheadedness , dizziness , hypotension , vertigo , and syncope.
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