Sick sinus syndrome history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
==History and Symptoms== | ==History and Symptoms== | ||
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. | 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. <ref name="pmid12725451">{{cite journal| author=Adán V, Crown LA| title=Diagnosis and treatment of sick sinus syndrome. | journal=Am Fam Physician | year= 2003 | volume= 67 | issue= 8 | pages= 1725-32 | pmid=12725451 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12725451 }} </ref> | ||
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: palpitations, fainting, dizziness, fatigue, weakness, confusion, and angina. <ref name="pmid14623796">{{cite journal| author=Gregoratos G| title=Cardiology patient pages. Sick sinus syndrome. | journal=Circulation | year= 2003 | volume= 108 | issue= 20 | pages= e143-4 | pmid=14623796 | doi=10.1161/01.CIR.0000102938.55119.EC | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14623796 }} </ref> | |||
==Symptoms== | ==Symptoms== | ||
Revision as of 02:19, 26 September 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History and Symptoms
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]
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: palpitations, fainting, dizziness, fatigue, weakness, confusion, and angina. [2]
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.
- ↑ Gregoratos G (2003). "Cardiology patient pages. Sick sinus syndrome". Circulation. 108 (20): e143–4. doi:10.1161/01.CIR.0000102938.55119.EC. PMID 14623796.