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Apr , 21 · Indications for permanent pacemaker for bradycardia and bradydysrhythmias The decision to place a permanent pacemaker is almost never made in the ED;The Mirror Pacing the heart is considered as the best treatment option when sick sinus syndrome presents as sinus bradycardia Patients are diagnosed with bradycardia if their heart bests less than sixty times in a minute When the heart rate is slow, the heart is unable to pump enough blood filled with nutrients and oxygen to the vital organsOct 10,  · Patients with structural abnormality of the conduction system and bradycardia are unlikely to respond to drugs and usually require permanent pacemaker implantation Those with sick sinus syndrome Bradycardia And Bradi Mnemonic Ecg Cases Em Cases Is a pacemaker the only treatment for bradycardia