Sick sinus syndrome history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
==History and Symptoms== | ==History and Symptoms== | ||
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. | |||
Symptoms may have been present for months or years and can range be asymptomatic or mildly symptomatic which include palpitations, fatigue, confusion, and even syncope and sudden death. | |||
Peripheral thromboembolism and stroke, which can occur in the presence of bradycardia-tachycardia syndrome (alternating bradyarrhythmias and tachyarrhythmias), may be related to dysrhythmia-induced emboli. <ref name="pmid3976454">{{cite journal| author=Wahls SA| title=Sick sinus syndrome. | journal=Am Fam Physician | year= 1985 | volume= 31 | issue= 3 | pages= 117-24 | pmid=3976454 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3976454 }} </ref> | |||
==Symptoms== | ==Symptoms== | ||
Even though many types of sick sinus syndrome produce no symptoms, patients may present with: | Even though many types of sick sinus syndrome produce no symptoms, patients may present with: |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History and Symptoms
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.
Symptoms may have been present for months or years and can range be asymptomatic or mildly symptomatic which include palpitations, fatigue, confusion, and even syncope and sudden death.
Peripheral thromboembolism and stroke, which can occur in the presence of bradycardia-tachycardia syndrome (alternating bradyarrhythmias and tachyarrhythmias), may be related to dysrhythmia-induced emboli. [1]
Symptoms
Even though many types of sick sinus syndrome produce no symptoms, patients may present with:
- Stokes-Adams attacks - fainting due to asystole or ventricular fibrillation
- Dizziness or light-headedness
- Palpitations
- Chest pain or angina
- Shortness of breath
- Fatigue
- Headache
References
- ↑ Wahls SA (1985). "Sick sinus syndrome". Am Fam Physician. 31 (3): 117–24. PMID 3976454.