History of Presenting Illness Physical Examination Basic Investigation Management Diagnosis Treatment Prognosis & Evidence-Based Info Summary Questions

  1. Is the tilt table test a reasonable screening test for sick sinus syndrome?
    • Answer: No. It has low specificity and main use is in suspected cases of vasodepressor syncope.
  2. True or false? Stroke and death are reduced by insertion of a dual chamber pacemaker in sick sinus syndrome as compared to use of a ventricular pacemaker.
  3. Does an asymptomatic patient with a two second sinus pause have a class I indication for pacing?
  4. Is an AAIR pacer suitable for symptomatic nonreversible 3rd degree atrioventricular block?