Sick sinus syndrome surgery: Difference between revisions
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#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 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 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)}} | #Permanent pacemaker implantation is indicated for symptomatic sinus bradycardia that results from required drug therapy for medical conditions.(Level of Evidence: C) | ||
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]]== | |||
#Permanent pacemaker implantation is not indicated for SND in asymptomatic patients. (Level of Evidence: C) | |||
#Permanent pacemaker implantation is not indicated for SND in patients for whom the symptoms suggestive of bradycardia have been clearly documented to occur in the absence of bradycardia. (Level of Evidence: C) | |||
#Permanent pacemaker implantation is not indicated for SND with symptomatic bradycardia due to nonessential drug therapy. (Level of Evidence: C)}} | |||
Revision as of 02:11, 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
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Class I
=Class III
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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]