Sick sinus syndrome history and symptoms: Difference between revisions
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{{Sick sinus syndrome}} | {{Sick sinus syndrome}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{Sahar}} | ||
==Overview== | |||
Diagnosing sick sinus syndrome (SSS) can often be challenging due to nonspecific [[symptoms]] and inconsistent findings on [[electrocardiogram]] or Holter monitor. [[Patients]] may be asymptomatic and the finding incidental or present with [[symptoms]] related to decreased [[cardiac output]]. 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== | ||
Diagnosing SSS can often be challenging due to nonspecific symptoms and inconsistent findings on electrocardiogram or Holter monitor. Patients may be asymptomatic and the finding incidental or present with symptoms related to decreased cardiac output. 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> | Diagnosing sick sinus syndrome (SSS) can often be challenging due to nonspecific [[symptoms]] and inconsistent findings on [[electrocardiogram]] or Holter monitor. [[Patients]] may be asymptomatic and the finding incidental or present with [[symptoms]] related to decreased [[cardiac output]]. 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> | [[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> | ||
* [[Dementia]] | |||
* [[Irritability]] | |||
* [[Lethargy]] | |||
* [[Memory loss]] | |||
* [[Nocturnal wakefulness]] | |||
* [[Dizziness]] or light-headedness | * [[Dizziness]] or light-headedness | ||
* [[Palpitations]] | * [[Palpitations]] | ||
| Line 14: | Line 19: | ||
* [[Fatigue]] | * [[Fatigue]] | ||
* [[Headache]] | * [[Headache]] | ||
* Focal neurologic symptoms due to [[Cerebrovascular accidents]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 23:13, 29 March 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
Diagnosing sick sinus syndrome (SSS) can often be challenging due to nonspecific symptoms and inconsistent findings on electrocardiogram or Holter monitor. Patients may be asymptomatic and the finding incidental or present with symptoms related to decreased cardiac output. 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
Diagnosing sick sinus syndrome (SSS) can often be challenging due to nonspecific symptoms and inconsistent findings on electrocardiogram or Holter monitor. Patients may be asymptomatic and the finding incidental or present with symptoms related to decreased cardiac output. 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]
- Dementia
- Irritability
- Lethargy
- Memory loss
- Nocturnal wakefulness
- Dizziness or light-headedness
- Palpitations
- Chest pain or angina
- Shortness of breath
- 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.