Sinus node dysfunction

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

One or more abnormal findings on several noninvasive or invasive tests is sufficient for the diagnosis of sinus node dysfunction in children. Invasive testing is seldom required. Presentation of the patient with sinus node dysfunction is variable and depends on patient age, presence of underlying hemodynamic disease, presence and severity of associated underlying conduction stystem disease, as well as the follow-up and monitoring practices of physicians. Dizziness/syncope and excessive fatigue or exercise intolerance, the most common symptoms of sinus node dysfunction, are difficult to document. Most patients with sinus node dysfunction are asymptomatic. Multiple causes of sinus node dysfunction have been reported in children, but most patients have a history of previous cardiac operations associated with atrial surgery. Although it is straightforward to recommend treatment (pacemaker implantation) for symptomatic patients for whom sinus node dysfunction has been documented, determination of treatment recommendations is challenging when documentation is equivocal or only mild sinus node dysfunction is found.

Original languageEnglish (US)
Pages (from-to)226-235
Number of pages10
JournalProgress in Pediatric cardiology
Volume3
Issue number4
DOIs
StatePublished - Nov 1994

Fingerprint

Sick Sinus Syndrome
Syncope
Dizziness
Documentation
Fatigue
Hemodynamics
Exercise
Physicians
Therapeutics

Keywords

  • children
  • sick sinus syndrome
  • sinus node dysfunction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

Cite this

Sinus node dysfunction. / Kugler, John Dale.

In: Progress in Pediatric cardiology, Vol. 3, No. 4, 11.1994, p. 226-235.

Research output: Contribution to journalArticle

@article{0486d040d3e14e2da452053d36cfe20c,
title = "Sinus node dysfunction",
abstract = "One or more abnormal findings on several noninvasive or invasive tests is sufficient for the diagnosis of sinus node dysfunction in children. Invasive testing is seldom required. Presentation of the patient with sinus node dysfunction is variable and depends on patient age, presence of underlying hemodynamic disease, presence and severity of associated underlying conduction stystem disease, as well as the follow-up and monitoring practices of physicians. Dizziness/syncope and excessive fatigue or exercise intolerance, the most common symptoms of sinus node dysfunction, are difficult to document. Most patients with sinus node dysfunction are asymptomatic. Multiple causes of sinus node dysfunction have been reported in children, but most patients have a history of previous cardiac operations associated with atrial surgery. Although it is straightforward to recommend treatment (pacemaker implantation) for symptomatic patients for whom sinus node dysfunction has been documented, determination of treatment recommendations is challenging when documentation is equivocal or only mild sinus node dysfunction is found.",
keywords = "children, sick sinus syndrome, sinus node dysfunction",
author = "Kugler, {John Dale}",
year = "1994",
month = "11",
doi = "10.1016/S1058-9813(05)80011-6",
language = "English (US)",
volume = "3",
pages = "226--235",
journal = "Progress in Pediatric Cardiology",
issn = "1058-9813",
publisher = "Elsevier Ireland Ltd",
number = "4",

}

TY - JOUR

T1 - Sinus node dysfunction

AU - Kugler, John Dale

PY - 1994/11

Y1 - 1994/11

N2 - One or more abnormal findings on several noninvasive or invasive tests is sufficient for the diagnosis of sinus node dysfunction in children. Invasive testing is seldom required. Presentation of the patient with sinus node dysfunction is variable and depends on patient age, presence of underlying hemodynamic disease, presence and severity of associated underlying conduction stystem disease, as well as the follow-up and monitoring practices of physicians. Dizziness/syncope and excessive fatigue or exercise intolerance, the most common symptoms of sinus node dysfunction, are difficult to document. Most patients with sinus node dysfunction are asymptomatic. Multiple causes of sinus node dysfunction have been reported in children, but most patients have a history of previous cardiac operations associated with atrial surgery. Although it is straightforward to recommend treatment (pacemaker implantation) for symptomatic patients for whom sinus node dysfunction has been documented, determination of treatment recommendations is challenging when documentation is equivocal or only mild sinus node dysfunction is found.

AB - One or more abnormal findings on several noninvasive or invasive tests is sufficient for the diagnosis of sinus node dysfunction in children. Invasive testing is seldom required. Presentation of the patient with sinus node dysfunction is variable and depends on patient age, presence of underlying hemodynamic disease, presence and severity of associated underlying conduction stystem disease, as well as the follow-up and monitoring practices of physicians. Dizziness/syncope and excessive fatigue or exercise intolerance, the most common symptoms of sinus node dysfunction, are difficult to document. Most patients with sinus node dysfunction are asymptomatic. Multiple causes of sinus node dysfunction have been reported in children, but most patients have a history of previous cardiac operations associated with atrial surgery. Although it is straightforward to recommend treatment (pacemaker implantation) for symptomatic patients for whom sinus node dysfunction has been documented, determination of treatment recommendations is challenging when documentation is equivocal or only mild sinus node dysfunction is found.

KW - children

KW - sick sinus syndrome

KW - sinus node dysfunction

UR - http://www.scopus.com/inward/record.url?scp=58149205310&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=58149205310&partnerID=8YFLogxK

U2 - 10.1016/S1058-9813(05)80011-6

DO - 10.1016/S1058-9813(05)80011-6

M3 - Article

AN - SCOPUS:58149205310

VL - 3

SP - 226

EP - 235

JO - Progress in Pediatric Cardiology

JF - Progress in Pediatric Cardiology

SN - 1058-9813

IS - 4

ER -