Sick sinus syndrome surgery: Difference between revisions
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==Overview== | ==Overview== | ||
==Surgery and Device-based Therapy== | ==Surgery and Device-based Therapy== | ||
===ACC/AHA Guidelines- Recommendations for Permanent Pacing in Sinus node Dysfunction=== | |||
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===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]=== | |||
#Permanent pacemaker implantation is indicated for SND with documented symptomatic bradycardia, including frequent sinus pauses that produce symptoms. (Level of Evidence: C) | |||
#Permanent pacemaker implantation is indicated for symptomatic chronotropic incompetence. (Level of Evidence:C) | |||
#Permanent pacemaker implantation is indicated for symptomatic sinus bradycardia that results from required drug therapy for medical conditions.(Level of Evidence: C)}} | |||
Bradyarrhythmias are well controlled with pacemakers, while tachyarrhythmias respond well to medical therapy. However, because both bradyarrhythmias and tachyarrhythmias may be present, drugs to control tachyarrhythmia may exacerbate bradyarrhythmia. Therefore, a pacemaker is implanted before drug therapy is begun for the tachyarrhythmia.<ref>http://www.ncbi.nlm.nih.gov/pubmed/12725451?dopt=Abstract</ref> | Bradyarrhythmias are well controlled with pacemakers, while tachyarrhythmias respond well to medical therapy. However, because both bradyarrhythmias and tachyarrhythmias may be present, drugs to control tachyarrhythmia may exacerbate bradyarrhythmia. Therefore, a pacemaker is implanted before drug therapy is begun for the tachyarrhythmia.<ref>http://www.ncbi.nlm.nih.gov/pubmed/12725451?dopt=Abstract</ref> | ||
Revision as of 02:02, 2 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery and Device-based Therapy
ACC/AHA Guidelines- Recommendations for Permanent Pacing in Sinus node Dysfunction
| “ |
Class I
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” |
Bradyarrhythmias are well controlled with pacemakers, while tachyarrhythmias respond well to medical therapy. However, because both bradyarrhythmias and tachyarrhythmias may be present, drugs to control tachyarrhythmia may exacerbate bradyarrhythmia. Therefore, a pacemaker is implanted before drug therapy is begun for the tachyarrhythmia.[1]