open access

Vol 9, No 1 (2014)
Guidelines and Clinical Practice — a Discussion Forum for Cardiologists
Published online: 2014-03-19
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Sick sinus syndrome — is pacemaker always the best option?

Dawid Bąkowski, Maciej Młodnicki, Beata Wożakowska-Kapłon
Folia Cardiologica 2014;9(1):91-94.

open access

Vol 9, No 1 (2014)
Guidelines and Clinical Practice — a Discussion Forum for Cardiologists
Published online: 2014-03-19

Abstract

We present two cases of patients with symptomatic dysfunction of sinus node. In the first example catheter ablation of AVNRT was performed which allowed to avoid pacemaker implantation due to sinus bradycardia and sinus pauses. In the second case combined usage of propafenon and metoprolol was introduced to restore sinus rhythm in patient with persistent AF. It caused severe sinus in sufficiency and temporary cardiac pacing. The article puts up for discussion not always easy qualification for permanent pacemaker implantation in sick sinus syndrome, especially among those patients with tachycardia-bradycardia syndrome. Indications for pacemaker implantation depend not only on clinical criteria but also on natural history and treatment of co-existing supraventrical arrhythmias.

Abstract

We present two cases of patients with symptomatic dysfunction of sinus node. In the first example catheter ablation of AVNRT was performed which allowed to avoid pacemaker implantation due to sinus bradycardia and sinus pauses. In the second case combined usage of propafenon and metoprolol was introduced to restore sinus rhythm in patient with persistent AF. It caused severe sinus in sufficiency and temporary cardiac pacing. The article puts up for discussion not always easy qualification for permanent pacemaker implantation in sick sinus syndrome, especially among those patients with tachycardia-bradycardia syndrome. Indications for pacemaker implantation depend not only on clinical criteria but also on natural history and treatment of co-existing supraventrical arrhythmias.
Get Citation

Keywords

sick sinus syndrome, supraventricular arrhythmia, cardiac pacing

About this article
Title

Sick sinus syndrome — is pacemaker always the best option?

Journal

Folia Cardiologica

Issue

Vol 9, No 1 (2014)

Pages

91-94

Published online

2014-03-19

Bibliographic record

Folia Cardiologica 2014;9(1):91-94.

Keywords

sick sinus syndrome
supraventricular arrhythmia
cardiac pacing

Authors

Dawid Bąkowski
Maciej Młodnicki
Beata Wożakowska-Kapłon

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