A sinus pause refers to a temporary interruption in the normal electrical activity of the heart's natural pacemaker, the sinus node. During a sinus pause, there is a delay or absence of a heartbeat, resulting in a pause in the heart rhythm. Sinus rhythm refers to the normal electrical activity of the heart, where the electrical signals originate from the sinus node and follow a regular pattern. Therefore, the correct answer, SINUS RHYTHM WITH A SINUS PAUSE, indicates that the heart is initially following a normal rhythm but experiences a pause in the sinus node's electrical activity.