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[CME-EKG 69/Answers: Sinus Pauses in Long-Term Monitoring]

Felix David Hochholzer1, Ardan M Saguner1, Corinna B Brunckhorst1

  • 1Klinik für Kardiologie, Universitäres Herzzentrum, Universitätsspital Zürich, Zürich.

Praxis
|September 1, 2021
PubMed

Insights

Intermittent sinus pauses and bradycardias present diagnostic challenges for pacemaker therapy. This case report explores causes, diagnostics, and treatments for these complex cases.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Pacemaker therapy indications for high-degree AV block and symptomatic bradycardias are generally clear.
  • Intermittent, asymptomatic, or oligo-symptomatic sinus bradycardias and pauses pose diagnostic and therapeutic challenges.

Observation:

  • This case report focuses on sinus pauses identified during long-term monitoring.
  • It highlights the complexities in managing patients with intermittent bradyarrhythmias.

Findings:

  • The report details potential etiologies contributing to sinus pauses.
  • Diagnostic strategies for identifying the underlying causes are discussed.

Implications:

  • Understanding these challenges is crucial for appropriate patient management.
  • This case report aims to guide clinicians in selecting optimal therapies for sinus pauses.

Keywords:
Event RecorderSick-Sinus-SyndromSinus bradycardiaSinusarrestSinusbradykardieSinuspausenevent recordersick sinus syndromesinus arrest

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