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Prognosis of Patients Permanently Paced for Sick Sinus Syndrome

Prognosis of Patients Permanently Paced for Sick Sinus Syndrome Abstract In 39 patients (mean age, 66 years) treated for sick sinus syndrome (SSS) with pacemaker insertion, the long-term prognosis was studied. Fifteen patients (42%) died during the follow-up period of 6 to 59 months (mean, 25 months). Three patients were unavailable for follow-up. Eleven of the 15 deaths (73%) were cardiac-related, yet none could be associated with either an arrhythmia or pacemaker failure. Symptoms recurred or persisted after pacemaker insertion in 14 patients (mean age, 71 years), nine of whom died (31 deaths per 100 patient follow-up years). Twenty-two patients (mean age, 63 years) were asymptomatic after pacer insertion, six of whom died (11 deaths per 100 patient follow-up years). These follow-up results demonstrate a poor long-term prognosis in patients with SSS and persistent symptoms following permanent pacing. (Arch Intern Med 136:406-408, 1976) References 1. Cohen HE, Kahn M, Donoso E: Treatment of supraventricular tachycardia with catheter and permanent pacemakers . Am J Cardiol 20:735-738, 1967.Crossref 2. Fowler NO, Fenton JC, Conway GF: Syncope and cerebral dysfunction caused by bradycardia without atrioventricular block . Am Heart J 80:303-312, 1970.Crossref 3. Sigurd B, Jensen G, Meibom J, et al: Adams-Stokes syndrome caused by sinoatrial block . Br Heart J 35:1002-1008, 1973.Crossref 4. Bayley TJ: Long-term ventricular pacing in treatment of sinoatrial block . Br Heart J 3:456-458, 1971. 5. Easley RM, Goldstein S: Sino-atrial syncope . Am J Med 50:166-177, 1971.Crossref 6. Wan SH, Lee GS, Toh CCS: The sick sinus syndrome: A study of 15 cases . Br Heart J 34:942-952, 1972.Crossref 7. Conde CA, Leppo J, Lipski J, et al: Effectiveness of pacemaker treatment in the bradycardia-tachycardia syndrome . Am J Cardiol 32:209-214, 1973.Crossref 8. Chokshi DS, Mascarenhas E, Samet P, et al: Treatment of sinoatrial rhythm disturbances with permanent cardiac pacing . Am J Cardiol 32:215-219, 1973.Crossref 9. Obel IWP, Cohen E, Miller RNS: Chronic symptomatic sinoatrial block: A review of 34 patients and their treatment . Chest 65:397-402, 1974.Crossref 10. Rokseth R, Hatle L: Prospective study on the occurrence and management of chronic sinoatrial disease, with follow-up . Br Heart J 36:582-587, 1974.Crossref 11. Rubenstein JJ, Schulman CL, Yurchak PM, et al: Clinical spectrum of the sick sinus syndrome . Circulation 46:5-13, 1972.Crossref 12. Aroesty JM, Cohen SI, Morkin E: Bradycardia-tachycardia syndrome: Results in 28 patients treated by combined pharmacologic therapy and pacemaker implantation . Chest 66:257-263, 1974.Crossref 13. Krishnaswami V, Geraci AR: Permanent pacing in disorders of sinus node function . Am Heart J 89:579-585, 1975.Crossref 14. Ferrer MI: The sick sinus syndrome . Circulation 47:635-641, 1973.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Prognosis of Patients Permanently Paced for Sick Sinus Syndrome

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1976.03630040016004
Publisher site
See Article on Publisher Site

Abstract

Abstract In 39 patients (mean age, 66 years) treated for sick sinus syndrome (SSS) with pacemaker insertion, the long-term prognosis was studied. Fifteen patients (42%) died during the follow-up period of 6 to 59 months (mean, 25 months). Three patients were unavailable for follow-up. Eleven of the 15 deaths (73%) were cardiac-related, yet none could be associated with either an arrhythmia or pacemaker failure. Symptoms recurred or persisted after pacemaker insertion in 14 patients (mean age, 71 years), nine of whom died (31 deaths per 100 patient follow-up years). Twenty-two patients (mean age, 63 years) were asymptomatic after pacer insertion, six of whom died (11 deaths per 100 patient follow-up years). These follow-up results demonstrate a poor long-term prognosis in patients with SSS and persistent symptoms following permanent pacing. (Arch Intern Med 136:406-408, 1976) References 1. Cohen HE, Kahn M, Donoso E: Treatment of supraventricular tachycardia with catheter and permanent pacemakers . Am J Cardiol 20:735-738, 1967.Crossref 2. Fowler NO, Fenton JC, Conway GF: Syncope and cerebral dysfunction caused by bradycardia without atrioventricular block . Am Heart J 80:303-312, 1970.Crossref 3. Sigurd B, Jensen G, Meibom J, et al: Adams-Stokes syndrome caused by sinoatrial block . Br Heart J 35:1002-1008, 1973.Crossref 4. Bayley TJ: Long-term ventricular pacing in treatment of sinoatrial block . Br Heart J 3:456-458, 1971. 5. Easley RM, Goldstein S: Sino-atrial syncope . Am J Med 50:166-177, 1971.Crossref 6. Wan SH, Lee GS, Toh CCS: The sick sinus syndrome: A study of 15 cases . Br Heart J 34:942-952, 1972.Crossref 7. Conde CA, Leppo J, Lipski J, et al: Effectiveness of pacemaker treatment in the bradycardia-tachycardia syndrome . Am J Cardiol 32:209-214, 1973.Crossref 8. Chokshi DS, Mascarenhas E, Samet P, et al: Treatment of sinoatrial rhythm disturbances with permanent cardiac pacing . Am J Cardiol 32:215-219, 1973.Crossref 9. Obel IWP, Cohen E, Miller RNS: Chronic symptomatic sinoatrial block: A review of 34 patients and their treatment . Chest 65:397-402, 1974.Crossref 10. Rokseth R, Hatle L: Prospective study on the occurrence and management of chronic sinoatrial disease, with follow-up . Br Heart J 36:582-587, 1974.Crossref 11. Rubenstein JJ, Schulman CL, Yurchak PM, et al: Clinical spectrum of the sick sinus syndrome . Circulation 46:5-13, 1972.Crossref 12. Aroesty JM, Cohen SI, Morkin E: Bradycardia-tachycardia syndrome: Results in 28 patients treated by combined pharmacologic therapy and pacemaker implantation . Chest 66:257-263, 1974.Crossref 13. Krishnaswami V, Geraci AR: Permanent pacing in disorders of sinus node function . Am Heart J 89:579-585, 1975.Crossref 14. Ferrer MI: The sick sinus syndrome . Circulation 47:635-641, 1973.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Apr 1, 1976

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