Sick sinus syndrome physical examination

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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 usually appear normal. Physical examination of patients with sick sinus syndrome is usually remarkable for bradycardia, tachycardia, and signs of the organ hypoperfusion.

Physical Examination

• Physical examination of patients with sick sinus syndrome is usually remarkable for bradycardia, tachycardia, and signs of the organ hypoperfusion.

Appearance of the Patient

• Patients with sick sinus syndrome usually appear normal.

Vital Signs

• Tachycardia with regular pulse
• Bradycardia with regular pulse

Skin

• Skin examination of patients with sick sinus syndrome is usually normal.

HEENT

• HEENT examination of patients with sick sinus syndrome is usually normal.

Neck

• Neck examination of patients with sick sinus syndrome is usually normal.

Lungs

• Pulmonary examination of patients with sick sinus syndrome is usually normal.

Heart

• Cardiovascular examination of patients with sick sinus syndrome is usually remarkable for:
  • Tachycardia/bradycardia

Abdomen

• Abdominal examination of patients with sick sinus syndrome is usually normal.

Back

• Back examination of patients with sick sinus syndrome is usually normal.

Genitourinary

• Genitourinary examination of patients with sick sinus syndrome is usually normal.

Neuromuscular

• Neuromuscular examination of patients with sick sinus syndrome is usually normal.
• Focal neurologic signs may be present in the case of stroke or TIA caused by sick sinus syndrome-hypoperfusion.

Extremities

• Extremities examination of patients with sick sinus syndrome is usually normal.