Survival in sinoatrial disorder (sick-sinus syndrome).
- 19 January 1980
- Vol. 280 (6208), 139-141
- https://doi.org/10.1136/bmj.280.6208.139
Abstract
A total of 381 patients with established (156) or potential (225) sinoatrial dysfunction were included in a 10-year prospective survey to determine the course of the disease and the benefits of pacing. With the exclusion of nine patients who were lost to follow-up, 61 were fitted with pacemakers. The overall survival of patients with established and potential dysfunction was similar and apparently indistinguishable from that of the normal population. Pacemaker implantation had little discernible effect on mortality though it reduced some incapacitating symptoms. These findings suggest that sinoatrial dysfunction is a relatively benign condition. Hence pacing should probably not be adopted as a routing measure but be reserved for patients with troublesome symptoms.This publication has 17 references indexed in Scilit:
- Role of 24-hour ambulatory electrocardiographic monitoring in a general hospital.BMJ, 1978
- Potential candidates for pacemakers. Survey of heart block and sinoatrial disorder (sick sinus syndrome).Heart, 1978
- The sick sinus syndrome. A study of 50 casesJournal of Electrocardiology, 1978
- Factors Influencing Survival of Patients with Permanent Cardiac PacemakersAnnals of Surgery, 1977
- Permanent pacing in disorders of sinus node functionAmerican Heart Journal, 1975
- Treatment of Sinoatrial Syndrome with Permanent Cardiac Pacing in 90 PatientsActa Medica Scandinavica, 1975
- The Sick Sinus SyndromeCirculation, 1973
- Sinus bradycardia.Heart, 1971
- Prevalence and Morbidity of Heart Block in DevonBMJ, 1970
- Maximum utilization of the life table method in analyzing survivalJournal of Chronic Diseases, 1958