Sick Sinus Syndrome - Diagnosis

Diagnosis

Ambulatory monitoring of the electrocardiogram (ECG) may be necessary because arrhythmias are transient. The ECG may show any of the following

  • Inappropriate sinus bradycardia
  • Sinus arrest
  • Sinoatrial block
  • Atrial fibrillation with slow ventricular response
  • A prolonged asystolic period after a period of tachycardias
  • Atrial flutter
  • Ectopic atrial tachycardia
  • Sinus node reentrant tachycardia
  • Wolff-Parkinson-White syndrome

Electrophysiologic tests are no longer used for diagnostic purposes because of their low specificity and sensitivity. Cardioinhibitory n vasodepressor forms of sick sinus syndrome may be revealed by tilt table testing.

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