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June 1, 1997HeartOpen Access

Stroke and atrial fibrillation in sick sinus syndrome.

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Population

Patients with sinus node disease (sick sinus syndrome/brady-tachy syndrome)

Design

Review

Authors

EAEckhard AltElectrophysiologyGLG. LehmannJena University Hospital

Discussion

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Overview

Prevalence data highlight common brady-tachy syndrome among pacemaker recipients; leaves open optimal integrated management strategies.

Key Points

  • To outline the clinical spectrum, diagnostic manifestations, and epidemiology of sick sinus syndrome and its relationship with atrial fibrillation.
  • Narrative review synthesizing electrophysiological features and clinical history of sinus node disease.
  • Epidemiological evaluation of pacemaker recipients across Europe and the United States.
  • Sinus node disease represents the underlying rhythm disorder in 40% to 50% of patients receiving pacemakers in Europe and the United States.
  • Between 20% and 30% of patients with sinus node dysfunction exhibit paroxysmal or intermittent atrial fibrillation as part of brady-tachy syndrome.
  • Key manifestations include severe sinus bradycardias, sinus arrest with substitute rhythms, inadequate post-cardioversion sinus node activity, and sinoatrial exit blocks.

Structured PICO

P
Population
Patients with sinus node disease (sick sinus syndrome/brady-tachy syndrome)

Provides a descriptive overview of sick sinus syndrome, its historical context, and its clinical manifestations including atrial fibrillation.

Cite This Study

Alt et al. (1997) studied this question.

synapsesocial.com/papers/6a73827f03e452693a6c38eehttps://doi.org/10.1136/hrt.77.6.495

Topics

Atrial fibrillationPersistent AF management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Potential candidates for pacemakers. Survey of heart block and sinoatrial disorder (sick sinus syndrome).1978 · 35 citations
  2. 2Epidemiologic Features of Chronic Atrial Fibrillation1982 · 2,340 citations
  3. 3Chronic atrial fibrillation and stroke in paced patients with sick sinus syndrome. Relevance of clinical characteristics and pacing modalities.1993 · 205 citations
  4. 4The Natural History of Sick Sinus Syndrome1986 · 288 citations
  5. 5Survival and Follow‐up After Pacemaker Implantation: A Comparison of Patients With Sick Sinus Syndrome, Complete Heart Block, and Atrial Fibrillation1985 · 78 citations