PMID: 1211960Nov 1, 1975Paper

Sick sinus syndrome. Symptomatic cases in children

Archives of Disease in Childhood
D J Radford, T Izukawa

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

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Citations

Jul 1, 1977·European Journal of Pediatrics·H Stopfkuchen, B K Jüngst
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
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
Nov 30, 2010·Pediatric Clinics of North America·Brett R Anderson, Victoria L Vetter
Oct 16, 2010·Pacing and Clinical Electrophysiology : PACE·Oliver MonfrediGwilym M Morris
Jul 1, 1980·The American Journal of Cardiology·S BharatiM Lev
Oct 1, 1976·American Heart Journal·D B Shaw
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

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