Sick sinus syndrome medical therapy

Sick sinus syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Sick sinus syndrome from other Diseases
Epidemiology and Demographics
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
EKG Examples
Echocardiography
X-ray
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Guidelines
Medical Therapy
Surgery
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Sick sinus syndrome medical therapy On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Sick sinus syndrome medical therapy All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Sick sinus syndrome medical therapy
CDC on Sick sinus syndrome medical therapy
Sick sinus syndrome medical therapy in the news
Blogs on Sick sinus syndrome medical therapy
Directions to Hospitals Treating Sick sinus syndrome
Risk calculators and risk factors for Sick sinus syndrome medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The management of sick sinus syndrome depends on the underlying cause and the presenting symptoms. After correcting the reversible causes of sick sinus syndrome, it can be managed by placing an implantable pacemaker. Asymptomatic patients are usually monitored without therapy.

Medical Therapy

The management of sick sinus syndrome depends on the underlying cause and the presenting symptoms. After correcting the reversible causes of sick sinus syndrome, it can be managed by placing an implantable pacemaker.

• Clinical indications of the implantable pacemaker include:
  • Patients with documented bradycardia and are symptomatic
  • Patients with chronotropic incompetence
  • Sinus node dysfunction secondary to medications necessitated by another medical condition
  • Patients with heart rate < 40 per minute
• Asymptomatic patients are followed without any treatment.
• Pharmacologic agents for the treatment of sick siuns syndrome include:
  • Caffeine
  • β-sympathomimetics (e.g., theophylline)
  • Oral vagolytic agents such as glycopyrrolate or atropine
• Asymptomatic patients are usually monitored without therapy.