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Chronic sinus node disease: natural course and indications for pacing
Abstract
The natural history of sinus node disease has been analysed from reported as well as original data. Because of the widespread use of pacemakers in sinus node disease the perfect study of its true prognosis will probably never be made. Nevertheless, available data strongly indicate that the outlook for identified patients with the disorder who do not have sever symptoms is favorable. Even for the severely symptomatic group, the prognosis seems to be much better than in atrioventricular conduction disease. Pacemaker implantations in this condition should therefore, in general, be restricted to the symptomatic patient in whom the symptoms have been shown to coincide with bradycardia. International differences in the extent of pacing use have been analysed from current statistics. It is concluded that different attitudes to pacing in sinus node disease account for a substantial part of these differences
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“In general, cardiac pacemaker therapy is indicated and has proved effective in intrinsic sinus node disease when intermittent sinus arrest or sinoatrial block has been demonstrated to account for syncope by means of ECG documentation during spontaneous syncope. 334-338”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [337]
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2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy
Authors Task Force Members, Brignole, M., Auricchio, A., Barón‐Esquivias, G., Bordachar, P., Boriani, G., Breithardt, O. A., Cleland, J. G. F., Deharo, J.-C., Delgado, V., et al. (2013) · European Heart Journal · doi:10.1093/eurheartj/eht150 · Cited by 2,834
ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities
Epstein, A. E., DiMarco, J. P., Ellenbogen, K. A., Estes, N. A. M., Freedman, R. A., Gettes, L. S., Gillinov, A. M., Gregoratos, G., Hammill, S. C., Hayes, D. L., et al. (2008) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2008.02.032 · Cited by 2,546
2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy
Glikson, M., Nielsen, J. C., Kronborg, M. B., Michowitz, Y., Auricchio, A., Barbash, I. M., Barrabés, J. A., Boriani, G., Braunschweig, F., Brignole, M., et al. (2021) · European Heart Journal · doi:10.1093/eurheartj/ehab364 · Cited by 2,019
2018 ESC Guidelines for the diagnosis and management of syncope
Brignole, M., Moya, A., de Lange, F. J., Deharo, J.-C., Elliott, P. M., Fanciulli, A., Fedorowski, A., Furlan, R., Kenny, R. A., Martín, A., et al. (2018) · European Heart Journal · doi:10.1093/eurheartj/ehy037 · Cited by 1,951
ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities
Epstein, A. E., Dimarco, J., Ellenbogen, K. A., Estes, N. A. M., Freedman, R. A., Gettes, L. S., Gillinov, A. M., Gregoratos, G., Hammill, S. C., Hayes, D. L., et al. (2008) · Circulation · doi:10.1161/circualtionaha.108.189742 · Cited by 1,772
Metadata
- Authors
- RASMUSSEN, K.
- Affiliations
- University Hospital of North Norway (NO)
- Corresponding author
- RASMUSSEN, K.
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 1981-12
- Volume
- 2
- Issue
- 6
- Pages
- 455-459
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- OpenAlex
- W1925145848
- Cited by
- 94
- References
- 0
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 5 · 2019: 2 · 2018: 9 · 2015: 2 · 2014: 7 · 2013: 3 · 2012: 2
- FWCI
- 3.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Heart Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Keywords
- natural history (disease), prognosis, cardiac pacing, pacemaker implantation, bradycardia, symptomatic patients
- MeSH terms
- Cardiac Pacing, Artificial, Chronic Disease, Death, Sudden, Epidemiologic Methods, Humans, Prognosis, Sick Sinus Syndrome
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