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Cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) remain first-line evidence-based treatments for BED, with robust data supporting their efficacy

These include: (1, 2) Cardiac arrhythmia Atrial fibrillation Atrioventricular block (first, second or third degree) Damage of the heart tissue due to aging A congenital heart defect Myocarditis Endocarditis A complication of heart surgery Sleep apnea Rheumatic fever Lupus Lyme disease Typhoid fever Very high blood potassium level Hypothyroidism Hypothermia Toxic levels of certain narcotics Side effect of medications including: Propranolol Atenolol Metoprolol Sotalol Verapamil Dilitazem Risk Factors Recognized risk factors of bradycardia include: (4) Heart damage Coronary artery disease High blood pressure Diabetes Renal insufficiency Smoking Recreational drug use Heavy alcohol use Psychological stress Anxiety Diagnosis Bradycardia is diagnosed through a combination of physical examinations, health history, and tests including an electrocardiogram (ECG)