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- W2104441718 abstract "Eighty-four patients (2.6%) were found to have prolonged (≥ 2.0 seconds) sinoatrial pauses in a review of 3,259 consecutive patients who had 24-hour Holter electrocardiographic studies. Pauses averaged 2.6 ± 1.5 seconds (± standard deviation) (range 2.0–15.2). In 17 (20%), no underlying heart disease was found and in 8 (10%), prolonged pauses appeared to be drug-induced. No relation was found between length of pauses and presence of symptoms or risk of death. Twenty patients received a pacemaker. Pacemaker recipients were older and more likely to be male and to have symptoms, although 7 were asymptomatic. Patients who received a permanent pacemaker were not different from nonrecipients with respect to average longest pause, mechanisms of pause, underlying heart condition or average time of follow-up. However, the survival rate was not improved by permanent pacemaker implantation. Of the 17 patients who died, only 3 died of cardiac causes; none had a recognizable bradycardic cause. Thirteen who initially had syncope did not receive a pacemaker; 2 died of noncardiac causes and none had a subsequent syncopal episode. Ten patients with a syncopal episode received a permanent pacemaker; 3 subsequently died and 3 survivors continued to complain of dizziness. Of the 37 patients who did not have any symptoms on initial examination, only one subsequently had a syncopal episode. Thus, length of sinoatrial pauses correlates poorly with symptoms and does not predict sudden death. Unless prolonged sinoatrial pauses are shown to cause symptoms, such pauses per se are not an indication for permanent pacemaker implantation." @default.
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- W2104441718 date "1983-09-01" @default.
- W2104441718 modified "2023-10-13" @default.
- W2104441718 title "Significance of prolonged electrocardiographic pauses in sinoatrial disease: Sick sinus syndrome" @default.
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- W2104441718 doi "https://doi.org/10.1016/0002-9149(83)90012-7" @default.
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