Sick sinus syndrome history and symptoms: Difference between revisions
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{{CMG}}; {{AE}} {{Sahar}} | {{CMG}}; {{AE}} {{Sahar}} | ||
==Overview== | ==Overview== | ||
[[Patients]] with sick sinus syndrome (SSS) may present with nonspecific [[symptoms]] or be asymptomatic. 50 percent of patients present with [[syncope]] or pre-syncope related to the decreased cerebral perfusion secondary to [[bradyarrhythmias]] or [[tachyarrhythmias]]. Some of the [[symptoms]] that may develop among [[patients]] include [[memory loss]], [[dizziness]] or light-headedness, [[Palpitations]], [[chest pain]] or [[Angina pectoris|angina]], [[shortness of breath]], [[fatigue]], and [[headache]]. | |||
==History== | ==History== | ||
[[Patients]] with sick sinus syndrome (SSS) may present with nonspecific [[symptoms]] or be asymptomatic. 50 percent of patients present with [[syncope]] or pre-syncope related to the decreased cerebral perfusion secondary to [[bradyarrhythmias]] or [[tachyarrhythmias]].<ref name="pmid12725451">{{cite journal| author=Adán V, Crown LA| title=Diagnosis and treatment of sick sinus syndrome. | journal=Am Fam Physician | year= 2003 | volume= 67 | issue= 8 | pages= 1725-32 | pmid=12725451 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12725451 }} </ref> | |||
==Symptoms== | ==Symptoms== | ||
[[Patients]] with mild SSS may be [[asymptomatic]] and unaware of any underlying illness. Other [[patients]] with symptomatic SSS may experience brief [[symptoms]] or more severe manifestations. Some of the [[symptoms]] that may develop among [[patients]] include: <ref name="pmid14623796">{{cite journal| author=Gregoratos G| title=Cardiology patient pages. Sick sinus syndrome. | journal=Circulation | year= 2003 | volume= 108 | issue= 20 | pages= e143-4 | pmid=14623796 | doi=10.1161/01.CIR.0000102938.55119.EC | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14623796 }} </ref><ref name="RubensteinSchulman1972">{{cite journal|last1=Rubenstein|first1=Joel J.|last2=Schulman|first2=Charles L.|last3=Yurchak|first3=Peter M.|last4=Desanctis|first4=Roman W.|title=Clinical Spectrum of the Sick Sinus Syndrome|journal=Circulation|volume=46|issue=1|year=1972|pages=5–13|issn=0009-7322|doi=10.1161/01.CIR.46.1.5}}</ref> | [[Patients]] with mild SSS may be [[asymptomatic]] and unaware of any underlying illness. Other [[patients]] with symptomatic SSS may experience brief [[symptoms]] or more severe manifestations. Some of the [[symptoms]] that may develop among [[patients]] include: <ref name="pmid14623796">{{cite journal| author=Gregoratos G| title=Cardiology patient pages. Sick sinus syndrome. | journal=Circulation | year= 2003 | volume= 108 | issue= 20 | pages= e143-4 | pmid=14623796 | doi=10.1161/01.CIR.0000102938.55119.EC | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14623796 }} </ref><ref name="RubensteinSchulman1972">{{cite journal|last1=Rubenstein|first1=Joel J.|last2=Schulman|first2=Charles L.|last3=Yurchak|first3=Peter M.|last4=Desanctis|first4=Roman W.|title=Clinical Spectrum of the Sick Sinus Syndrome|journal=Circulation|volume=46|issue=1|year=1972|pages=5–13|issn=0009-7322|doi=10.1161/01.CIR.46.1.5}}</ref><ref name="ParkCho2004">{{cite journal|last1=Park|first1=Hyung Wook|last2=Cho|first2=Jeong Gwan|last3=Yum|first3=Ju Hyup|last4=Hong|first4=Young Joon|last5=Lim|first5=Ji Hyun|last6=Kim|first6=Han Gyun|last7=Kim|first7=Ju Han|last8=Kim|first8=Weon|last9=Ahn|first9=Young Keun|last10=Jeong|first10=Myung Ho|last11=Park|first11=Jong Chun|last12=Kang|first12=Jung Chaee|title=Clinical Characteristics of Hypervagotonic Sinus Node Dysfunction|journal=The Korean Journal of Internal Medicine|volume=19|issue=3|year=2004|pages=155–159|issn=1226-3303|doi=10.3904/kjim.2004.19.3.155}}</ref> | ||
* [[Dementia]] | * [[Dementia]] | ||
* [[Irritability]] | * [[Irritability]] | ||
| Line 17: | Line 17: | ||
* [[Chest pain]] or [[Angina pectoris|angina]] | * [[Chest pain]] or [[Angina pectoris|angina]] | ||
* [[Shortness of breath]] | * [[Shortness of breath]] | ||
*Decreased exercise tolerance | |||
* [[Fatigue]] | * [[Fatigue]] | ||
* [[Headache]] | * [[Headache]] | ||
* Focal neurologic symptoms due to [[Cerebrovascular accidents]] | * Focal neurologic symptoms due to [[Cerebrovascular accident|cerebrovascular accidents]] | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Electrophysiology]] | |||
[[Category:Syndromes]] | |||
[[Category:Cardiology]] | |||
[[Category:Arrhythmia]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 02:03, 7 April 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]
Overview
Patients with sick sinus syndrome (SSS) may present with nonspecific symptoms or be asymptomatic. 50 percent of patients present with syncope or pre-syncope related to the decreased cerebral perfusion secondary to bradyarrhythmias or tachyarrhythmias. Some of the symptoms that may develop among patients include memory loss, dizziness or light-headedness, Palpitations, chest pain or angina, shortness of breath, fatigue, and headache.
History
Patients with sick sinus syndrome (SSS) may present with nonspecific symptoms or be asymptomatic. 50 percent of patients present with syncope or pre-syncope related to the decreased cerebral perfusion secondary to bradyarrhythmias or tachyarrhythmias.[1]
Symptoms
Patients with mild SSS may be asymptomatic and unaware of any underlying illness. Other patients with symptomatic SSS may experience brief symptoms or more severe manifestations. Some of the symptoms that may develop among patients include: [2][3][4]
- Dementia
- Irritability
- Lethargy
- Memory loss
- Nocturnal wakefulness
- Dizziness or light-headedness
- Palpitations
- Chest pain or angina
- Shortness of breath
- Decreased exercise tolerance
- Fatigue
- Headache
- Focal neurologic symptoms due to cerebrovascular accidents
References
- ↑ Adán V, Crown LA (2003). "Diagnosis and treatment of sick sinus syndrome". Am Fam Physician. 67 (8): 1725–32. PMID 12725451.
- ↑ Gregoratos G (2003). "Cardiology patient pages. Sick sinus syndrome". Circulation. 108 (20): e143–4. doi:10.1161/01.CIR.0000102938.55119.EC. PMID 14623796.
- ↑ Rubenstein, Joel J.; Schulman, Charles L.; Yurchak, Peter M.; Desanctis, Roman W. (1972). "Clinical Spectrum of the Sick Sinus Syndrome". Circulation. 46 (1): 5–13. doi:10.1161/01.CIR.46.1.5. ISSN 0009-7322.
- ↑ Park, Hyung Wook; Cho, Jeong Gwan; Yum, Ju Hyup; Hong, Young Joon; Lim, Ji Hyun; Kim, Han Gyun; Kim, Ju Han; Kim, Weon; Ahn, Young Keun; Jeong, Myung Ho; Park, Jong Chun; Kang, Jung Chaee (2004). "Clinical Characteristics of Hypervagotonic Sinus Node Dysfunction". The Korean Journal of Internal Medicine. 19 (3): 155–159. doi:10.3904/kjim.2004.19.3.155. ISSN 1226-3303.