Sick sinus syndrome physical examination: Difference between revisions

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{{Sick sinus syndrome}}
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{{CMG}}; {{AE}} {{Sahar}}
 
==Overview==
{{CMG}}
Patients with sick sinus syndrome usually appear normal. Physical examination of patients with sick sinus syndrome is usually remarkable for [[bradycardia]], [[tachycardia]], and signs of the organ hypoperfusion.
==Physical Examination==
==Physical Examination==
 
*Physical examination of [[patients]] with sick sinus syndrome is usually remarkable for [[bradycardia]], [[tachycardia]], and signs of the organ hypoperfusion.<ref name="pmid185894">{{cite journal| author=Scarpa WJ| title=The sick sinus syndrome. | journal=Am Heart J | year= 1976 | volume= 92 | issue= 5 | pages= 648-60 | pmid=185894 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=185894  }} </ref>
Besides bradycardia or the presence of an arrhythmia, physical findings in patients with SSS are uncommonly pertinent in establishing the diagnosis. <ref name="pmid185894">{{cite journal| author=Scarpa WJ| title=The sick sinus syndrome. | journal=Am Heart J | year= 1976 | volume= 92 | issue= 5 | pages= 648-60 | pmid=185894 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=185894  }} </ref>
===Appearance of the Patient===
 
*[[Patients]] with sick sinus syndrome usually appear normal.
===Vital Signs===
*[[Tachycardia]] with regular pulse<ref name="RubensteinSchulman1972">{{cite journal|last1=Rubenstein|first1=Joel J.|last2=Schulman|first2=Charles L.|last3=Yurchak|first3=Peter M.|last4=Desanctis|first4=Roman W.|title=Clinical Spectrum of the Sick Sinus Syndrome|journal=Circulation|volume=46|issue=1|year=1972|pages=5–13|issn=0009-7322|doi=10.1161/01.CIR.46.1.5}}</ref>
*[[Bradycardia]] with regular pulse
===Skin===
* Skin examination of [[patients]] with sick sinus syndrome is usually normal.
===HEENT===
* HEENT examination of [[patients]] with sick sinus syndrome is usually normal.
===Neck===
* Neck examination of [[patients]] with sick sinus syndrome is usually normal.
===Lungs===
* Pulmonary examination of [[patients]] with sick sinus syndrome is usually normal.
===Heart===
* Cardiovascular examination of [[patients]] with sick sinus syndrome is usually remarkable for:
**[[Tachycardia]]/[[bradycardia]]
===Abdomen===
* [[Abdominal]] examination of [[patients]] with sick sinus syndrome is usually normal.
===Back===
* Back examination of [[patients]] with sick sinus syndrome is usually normal.
===Genitourinary===
* Genitourinary examination of [[patients]] with sick sinus syndrome is usually normal.
===Neuromuscular===
* Neuromuscular examination of [[patients]] with sick sinus syndrome is usually normal.
* Focal neurologic signs may be present in the case of stroke or TIA caused by sick sinus syndrome-hypoperfusion.
===Extremities===
* Extremities examination of [[patients]] with sick sinus syndrome is usually normal.
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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{{WH}}
{{WS}}
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Revision as of 14:18, 1 April 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Patients with sick sinus syndrome usually appear normal. Physical examination of patients with sick sinus syndrome is usually remarkable for bradycardia, tachycardia, and signs of the organ hypoperfusion.

Physical Examination

Appearance of the Patient

  • Patients with sick sinus syndrome usually appear normal.

Vital Signs

Skin

  • Skin examination of patients with sick sinus syndrome is usually normal.

HEENT

  • HEENT examination of patients with sick sinus syndrome is usually normal.

Neck

  • Neck examination of patients with sick sinus syndrome is usually normal.

Lungs

  • Pulmonary examination of patients with sick sinus syndrome is usually normal.

Heart

Abdomen

Back

  • Back examination of patients with sick sinus syndrome is usually normal.

Genitourinary

  • Genitourinary examination of patients with sick sinus syndrome is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with sick sinus syndrome is usually normal.
  • Focal neurologic signs may be present in the case of stroke or TIA caused by sick sinus syndrome-hypoperfusion.

Extremities

  • Extremities examination of patients with sick sinus syndrome is usually normal.

References

  1. ↑ Scarpa WJ (1976). "The sick sinus syndrome". Am Heart J. 92 (5): 648–60. PMID 185894.
  2. ↑ Rubenstein, Joel J.; Schulman, Charles L.; Yurchak, Peter M.; Desanctis, Roman W. (1972). "Clinical Spectrum of the Sick Sinus Syndrome". Circulation. 46 (1): 5–13. doi:10.1161/01.CIR.46.1.5. ISSN 0009-7322.

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