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[Arrhythmic profiles evaluated by Holter's technique in sick sinus syndrome]
N Lousada1, C Catarino, E Antunes
1Interno do Internato Complementar de Cardiologia do Hospital de Santa Marta.
Summary
Holter monitoring effectively diagnosed sick sinus syndrome and guided pacemaker implantation in patients with underlying heart disease. Severe sinus bradycardia and bradycardia-tachycardia syndrome were common findings.
Area of Science:
- Cardiology
- Electrophysiology
- Internal Medicine
Context:
- Sick sinus syndrome (SSS) diagnosis and management.
- Evaluation of arrhythmia characteristics in SSS patients.
- Role of Holter monitoring in clinical decision-making.
Purpose:
- To assess arrhythmia patterns using Holter monitoring in SSS patients.
- To determine the utility of Holter monitoring for pacemaker selection in SSS.
- To identify common comorbidities in SSS.
Summary:
- Holter monitoring identified distinct arrhythmia profiles in 40 SSS patients, including severe sinus bradycardia, sinoatrial exit block, bradycardia-tachycardia syndrome, and atrial fibrillation with slow ventricular response.
- Coronary artery disease and hypertensive heart disease were prevalent comorbidities.
- Holter monitoring proved crucial for diagnosing SSS and selecting appropriate candidates for pacemaker implantation.
Impact:
- Provides evidence for Holter monitoring's diagnostic and prognostic value in SSS.
- Highlights the association between SSS and common cardiovascular diseases.
- Informs clinical practice regarding pacemaker implantation strategies for SSS.