Sick sinus syndrome medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
The management of sick sinus syndrome depends on the underlying [[cause]] and the presenting [[symptoms]]. After correcting the reversible [[causes]] of sick sinus syndrome, it can be managed by placing an implantable pacemaker. | |||
==Medical Therapy== | ==Medical Therapy== | ||
The management of sick sinus syndrome depends on the underlying [[cause]] and the presenting [[symptoms]]. After correcting the reversible [[causes]] of sick sinus syndrome, it can be managed by placing an implantable pacemaker.<ref name="pmid29261930">{{cite journal |vauthors=Dakkak W, Doukky R |title= |journal= |volume= |issue= |pages= |date= |pmid=29261930 |doi= |url=}}</ref> | |||
*Clinical [[indications]] of the implantable pacemaker include: | |||
** [[Patients]] with documented bradycardia and are symptomaticĮ | |||
** [[Patients]] with chronotropic incompetence | |||
** Sinus node dysfunction secondary to medications necessitated by another medical condition | |||
** [[Patients]] with heart rate < 40 per minute | |||
===Contraindicated medications=== | ===Contraindicated medications=== | ||
{{MedCondContrAbs | {{MedCondContrAbs | ||
|MedCond = Sick sinus syndrome|Adenosine|Carvedilol|Diltiazem|Dronedarone|Esmolol|Fingolimod|Metoprolol|Nebivolol|Propafenone|Verapamil}} | |MedCond = Sick sinus syndrome|Adenosine|Carvedilol|Diltiazem|Dronedarone|Esmolol|Fingolimod|Metoprolol|Nebivolol|Propafenone|Verapamil}} | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Electrophysiology]] | |||
[[Category:Syndromes]] | |||
[[Category:Cardiology]] | |||
[[Category:Arrhythmia]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 22:01, 8 April 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The management of sick sinus syndrome depends on the underlying cause and the presenting symptoms. After correcting the reversible causes of sick sinus syndrome, it can be managed by placing an implantable pacemaker.
Medical Therapy
The management of sick sinus syndrome depends on the underlying cause and the presenting symptoms. After correcting the reversible causes of sick sinus syndrome, it can be managed by placing an implantable pacemaker.[1]
- Clinical indications of the implantable pacemaker include:
Contraindicated medications
Sick sinus syndrome is considered an absolute contraindication to the use of the following medications: