Sick sinus syndrome history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
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. [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
- ↑ Adán V, Crown LA (2003). "Diagnosis and treatment of sick sinus syndrome". Am Fam Physician. 67 (8): 1725–32. PMID 12725451.