Obstructive Sleep Apnea with Sinus Pauses: Where the Pauses Need Treatment for the Cause

Obstructive sleep apnea (OSA) is a common condition associated with various bradyarrhythmias, including sinus bradycardia, sinus pauses, and atrioventricular block. However, not all cases necessitate permanent pacemaker implantation. We present the case of a 58-year-old obese male who was referred for pacemaker implantation due to prolonged sinus pauses but was subsequently diagnosed with OSA. Following appropriate treatment for OSA, his symptoms resolved, and pacemaker implantation was not required.