Abstract
In 20 children needing treatment for symptomatic sick sinus syndrome, the average age at presentation was 7.1 years and ranged from 9 months to 18 years. Symptoms were never precise but, in retrospect, 5 children had syncope, 7 had a rapid heart action, 6 had dyspnoea or tachypnoea, 2 had nonspecific chest pains, 2 had pale spells, and 1 had a sudden hemiplegia. Symptoms followed cardiac surgery in 15 cases and were related to unoperated congenital heart disease in 2 and to myocarditis in 2. The aetiology was unknown in 1 case. The type of cardiac surgery resulting in the development of the sick sinus syndrome was predominantly related to atrial suturing. Both tachy- and bradydysrhythmias were found, including wandering atrial pacemaker (9 cases), junctional rhythm (19 cases), supraventricular tachycardia (9 cases), atrial flutter (11 cases), and atrial fibrillation (2 cases). Both atrial (8 cases) and ventricular (7 cases) premature beats were seen. All patients were given trials of drug therapy but difficulties were encountered. Cardioversion was used for tachyarrhythmias in 11 cases without serious problems. Six children had permanent cardiac pacemakers inserted with good results. Recognition of the sick sinus syndrome in ch...Continue Reading
References
Sep 1, 1972·British Heart Journal·S H WanC C Toh
Aug 24, 1974·British Medical Journal·D J Radford, D G Julian
Oct 1, 1974·Archives of Disease in Childhood·O Scott, F J Macartney
Mar 1, 1974·Progress in Cardiovascular Diseases·A J Moss, R J Davis
Dec 1, 1972·The American Journal of Cardiology·J B AbellaA R Hastreiter
Jan 1, 1973·Circulation·H C StraussE G Giardina
Apr 1, 1973·The American Journal of Cardiology·B M KaplanA Pick
Sep 1, 1973·Circulation·H E Cohen
Oct 1, 1973·British Heart Journal·B SigurdE Sandoe
Oct 1, 1973·British Heart Journal·B R CrookE B Raftery
Sep 1, 1974·The American Journal of Cardiology·P K GuptaE Badui
Jun 1, 1974·British Heart Journal·R Rokseth, L Hatle
Jul 1, 1972·Circulation·J J RubensteinR W DeSanctis
Oct 1, 1972·Circulation·W J MandelA I Kermaier
Oct 1, 1972·The American Journal of Cardiology·G el-SaidD G McNamara
Oct 1, 1972·The American Journal of Cardiology·R IsaacsonD C McGoon
Feb 1, 1971·The American Journal of Medicine·R M Easley, S Goldstein
Dec 1, 1968·The American Journal of Cardiology·T O Cheng
Jul 1, 1967·British Heart Journal·B Lown
Sep 1, 1967·British Heart Journal·R E Hudson
Citations
Jul 1, 1977·European Journal of Pediatrics·H Stopfkuchen, B K Jüngst
Jan 1, 1984·Pediatric Cardiology·S D ColanD H Kelly
Jul 25, 2007·Herzschrittmachertherapie & Elektrophysiologie·R LehmannC W Israel
May 1, 1977·Archives of Disease in Childhood·D J RadfordR D Rowe
Dec 1, 1980·British Heart Journal·H Ector, L G Van der Hauwaert
Jan 1, 1981·British Heart Journal·A F Mackintosh
Mar 1, 1981·British Heart Journal·D P SouthallP G Johnston
Feb 1, 1984·British Heart Journal·D F Dickinson, O Scott
May 1, 1985·British Heart Journal·H EctorH de Geest
Oct 3, 2003·The Journal of Clinical Investigation·D Woodrow BensonAlfred L George
Oct 1, 1985·Mayo Clinic Proceedings·G AlbinD R Holmes
Nov 30, 2010·Pediatric Clinics of North America·Brett R Anderson, Victoria L Vetter
Oct 1, 1984·The Annals of Thoracic Surgery·W H WilliamsC R Hatcher
Oct 16, 2010·Pacing and Clinical Electrophysiology : PACE·Oliver MonfrediGwilym M Morris
Jul 1, 1980·The American Journal of Cardiology·S BharatiM Lev
May 1, 1986·International Journal of Cardiology·D Ward
Oct 1, 1976·American Heart Journal·D B Shaw
May 1, 1982·Circulation·E B Clark, J D Kugler
Oct 1, 1978·Pacing and Clinical Electrophysiology : PACE·W G WilliamsR D Rowe
Jan 1, 1981·Pacing and Clinical Electrophysiology : PACE·D Young
Apr 1, 1988·Anaesthesia·S M Underwood, C J Glynn
Dec 20, 2018·Clinical Case Reports·Laurence van der Haert, Dominique Blommaert