RT Book, Section A1 Vijayaraman, Pugazhendhi A1 Ellenbogen, Kenneth A. A2 Fuster, Valentin A2 Harrington, Robert A. A2 Narula, Jagat A2 Eapen, Zubin J. SR Print(0) ID 1161718763 T1 BRADYARRHYTHMIAS T2 Hurst's The Heart, 14e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071843249 LK accessmedicine.mhmedical.com/content.aspx?aid=1161718763 RD 2024/04/16 AB Bradyarrhythmias are most commonly caused by failure of impulse formation (sinus node dysfunction) or by failure of impulse conduction over the atrioventricular (AV) node/His-Purkinje system. Bradyarrhythmias may be caused by disease processes that directly alter the structural and functional integrity of the sinus node, atria, AV node, and His-Purkinje system or by extrinsic factors (autonomic disturbances, drugs, etc) without causing structural abnormalities (Table 86–1).