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

Patients with mild SSS may be asymptomatic and unaware of any underlying illness. Other patients with symptomatic SSS may experience brief symptoms or more severe manifestations. Some of the symptoms that may develop among patients include: [2]

References

  1. Adán V, Crown LA (2003). "Diagnosis and treatment of sick sinus syndrome". Am Fam Physician. 67 (8): 1725–32. PMID 12725451.
  2. Gregoratos G (2003). "Cardiology patient pages. Sick sinus syndrome". Circulation. 108 (20): e143–4. doi:10.1161/01.CIR.0000102938.55119.EC. PMID 14623796.

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