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| | Bradycardia Evaluation |
 | | If bradycardia is confirmed or suspected in a patient, possible intrinsic or extrinsic causes must be sought, including obstructive sleep apnea (absent breathing due to obstruction in the throat by the uvula), and medications affecting heart rate (see figure 93a). |
 | | If the symptoms are intermittent, a 24 hour EKG Holter test (see figures 96A, 96B, 97, 98, 99, 100, 101, 102) may be necessary to assist with the diagnosis and the correlation of symptoms with the onset of bradycardia. |
 | | Also, testing with the EKG while the patient is lying on a tilt table with a head up position may be used to provoke an episode of fainting with changes in heart rate and blood pressure. |
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