Bradycardia is common in critical care units. It may be transient, asymptom
atic and of little consequence, or life-threatening. Bradycardia may result
from abnormalities of the sinus node, atrioventricular node, or the His-Pu
rkinje system. It may also be precipitated by drug effects or enhanced vaga
l tone. Proper diagnosis is pivotal to determining prognosis and management
. Temporary and permanent pacing is now readily available, markedly improvi
ng the morbidity and mortality associated with bradyarrhythmias.