Name
ARRHYTHMIAS, SICK SINUS SYNDROME
DESCRIPTION
DETAIL
CAUSES : - IDIOPATHIC - ADVANCED LIVER DISEASE - SEVERE HYPOXIA - HYPERCAPNIA - ACIDEMIA - AC HYPERTENSION - AC M.I. - ELDERLY - AMYLOIDOSIS & OTHER CONDITIONS ASSOCIATED WITH ATRIAL MYOCARDIAL INFILTRATION - AC NEPHRITIS CAUSING HYPERTENSIONOTHER TESTS : * INVASIVE INTRACARDIAL ECG RECORDING * CONTINUOUS - LOOP EVENT RECORDING * CAROTID SINUS PRESSURE - SINUS PAUSE IN EXCESS OF 5 SEC MAY OCCUR ( THIS MAY BE NORMAL IN ELDERLY ) * PHYSIOLOGIC OR PHARMACOLOGIC MANEUVERS THAT ARE VAGOMIMETIC ( VALSALVA MANEUVER OR PHENYLEPHERINE INDUCED HYPERTENSION), VAGOLYTIC ( ATROPINE ), SYMPATHOMIMETIC ( ISOPROTERENOL OR HYPOTENSION BY NITROPRUSSIDE ) , OR SYMPATHOLYTIC ( BETA-ADRENERGIC BLOCKING AGENTS ) CAN BE UTILISED, SINGLY OR IN COMBINATION.
TYPENOTES
TREATMENT : - NO DRUG TREATMENT IS AVAILABLE. TREAT UNDERLYING CAUSE. - PERMANENT PACE MAKER IS USUALLY REQUIRED & IS BEST TO CONTROL SYMPTOMS.
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
COMPLETE BLOOD COUNT, ECG, HOLTER MONITORING