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Published on: July 5, 2021
[Sick sinus syndrome and conduction disorders in women--frequency, treatment]
Insights
Women often experience sick sinus syndrome, a type of heart conduction disorder, while men more frequently have atrioventricular conduction issues. Pacemaker implantation is the primary treatment after ruling out reversible causes.
Area of Science:
- Cardiology
- Electrophysiology
Background:
- Heart conduction disorders present differently in men and women.
- Sick sinus syndrome is more common in women, whereas men often exhibit atrioventricular conduction disturbances.
Purpose of the Study:
- To highlight the gender-specific presentation of heart conduction disorders.
- To discuss the underlying causes and standard treatment for these conditions.
Main Methods:
- Review of existing literature on heart conduction disorders.
- Analysis of gender-based differences in prevalence and type of conduction abnormalities.
Main Results:
- Women are more frequently diagnosed with sick sinus syndrome.
- Men are more prone to atrioventricular conduction diseases and sinus carotid diseases.
- Ischemic heart disease and fibrotic processes are common underlying factors.
Conclusions:
- Understanding gender differences is crucial for diagnosing conduction disorders.
- Pacemaker implantation remains the gold standard treatment for significant conduction abnormalities.
- Identifying and addressing reversible causes is essential prior to definitive treatment.
Abstract:
Conduction disorders in women are often presented as sick sinus syndrome in comparison to men who have more often disturbances of AV conduction diseases and sinus carotid diseases. Nearly every heart disease with prevalence of ischeamic heart disease and idiopathic degenerative fibrotic process, which leads to reduction number of trigger cells, can result in conduction disorders. As a gold standard in treatment is pacemaker implantation with appropriate pacing mode, after exclusion a reversable reason of the disease.
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