The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Treatment of Sinoatrial Syndrome with Permanent Cardiac Pacing in 90 Patients
Abstract
Out of a pacemaker population of 392 patients, 90 (23%) have been found to have sinoatrial syndrome. Their ages ranged from 22 to 86 years, and averaged 66 for men and 70 for women. The male-to-female ratio was 1:1.6. Before pacemaker implantation, syncopal attacks had occurred in 54%, dizziness without syncope in 31% and tachyarrhythmias in 57%. Atrial or paroxysmal supraventricular tachycardia had been recorded in 33%, atrial fibrillation or flutter in 28%, and ventricular tachycardia in 11%. First and/or second degree AV block was found in 36%. Coronary heart disease was present in 61% and 20% had had myocardial infarction. Cardiomyopathy and previous carditis were other associated heart diseases. Sinoatrial syndrome was the only manifestation of heart disease in 20%. Follow-up time after pacemaker implantation ranged from 3 months to 7 years, mean 23 months. Syncopal attacks were stopped in 48 of 49 patients, dizziness was relieved in all 28 patients and tachyarrhythmias were controlled by combined drug treatment in 43 of 51 patients. Nineteen patients died during the follow-up, most of them of cerebrovascular events or myocardial infarction. Associated coronary heart disease was especially frequent in this group. The death of one patient was caused by a run-away pacemaker. Other pacing failures were due to electrode movement or premature battery exhaustion. There was no mortality associated with pacemaker implantations or replacements. These results strongly support the view that pacemaker treatment most effectively controls symptoms of sinoatrial syndrome when drug treatment fails.
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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 ECG documentation during spontaneous syncope.
“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 [336]
Citations
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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
GANN, D., TOLENTINO, A., & SAMET, P. (1979) · Annals of Internal Medicine · doi:10.7326/0003-4819-90-1-24 · Cited by 158
Sick Sinus Syndrome Treated with Permanent Pacemaker in 109 Patients: A Follow‐Up Study
Breivik, K., Ohm, O., & Segadal, L. (1979) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1979.tb13486.x · Cited by 73
Metadata
- Authors
- Härtel, G., & Talvensaari, T.
- Affiliations
- Helsinki University Hospital (FI)
- Venue
- Acta Medica Scandinavica
- Publisher
- Wiley
- Published
- 1975-01-12
- Volume
- 198
- Issue
- 1-6
- Pages
- 341-347
- ISSN
- 0001-6101 (ISSN-L)
- OpenAlex
- W2065720400
- Cited by
- 68
- References
- 27
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 4 · 2021: 6 · 2020: 1 · 2019: 1 · 2018: 4 · 2015: 1 · 2014: 4 · 2013: 3
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Medica Scandinavica (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
- permanent cardiac pacing, pacemaker implantation, syncope, dizziness, tachyarrhythmias, atrial fibrillation, atrial flutter, ventricular tachycardia, atrioventricular block, coronary artery disease, pacemaker complications, electrode movement, battery exhaustion
- MeSH terms
- Adult, Aged, Arrhythmia, Sinus, Coronary Disease, Female, Follow-Up Studies, Heart Block, Humans, Male, Middle Aged, Myocardial Infarction, Pacemaker, Artificial, Postoperative Complications, Sinoatrial Block
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