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To diagnose bradycardia, your doctor will likely perform a physical exam and order tests, such as: Electrocardiogram (EKG) to measure your heart's electrical activity Holter monitor or event recorder to track your heart's rhythm over an extended period Tilt table test to observe your heart's response to position changes Stress exercise test to monitor your heart during physical activity Sleep study to check for obstructive sleep apnea Blood tests to detect electrolyte imbalances, thyroid hormone levels, or signs of heart damage Treatment for bradycardia depends on the underlying cause and the presence of symptoms