Married to the Pacemaker: An Autobiographical Case Report of Sick Sinus Syndrome

Area of Science:

• Cardiology
• Internal Medicine

Background:

• Systemic hypertension is a common condition often managed with beta-blockers like atenolol and nebivolol.
• Cardiac arrhythmias can present with diverse and sometimes delayed symptoms, necessitating comprehensive diagnostic evaluation.

Observation:

• The author, a patient with hypertension on beta-blockers, experienced syncope and unconsciousness after a fall, leading to a diagnosis of complete heart block.
• Following initial treatment and discharge, intermittent lightheadedness and giddiness recurred, prompting further investigation.

Findings:

• Electrocardiogram initially suggested complete heart block, treated with a temporary pacemaker.
• Subsequent Holter monitoring revealed prolonged pauses, leading to a diagnosis of sick sinus syndrome and permanent pacemaker implantation.

Implications:

• This case underscores the importance of advanced cardiac screening, including serial Holter monitoring, in diagnosing arrhythmias like sick sinus syndrome.
• Understanding the potential link between beta-blocker therapy, hypertension, and cardiac events is crucial for patient management.
• Autobiographical case reports can offer valuable insights into the diagnostic journey and clinical presentation of cardiac conditions.