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

  1. 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.
    • Answer: No. There is no statistical difference. A small reduction in the rate of future atrial fibrillation is seen (5.3% vs. 6.6%).
  2. Does an asymptomatic patient with a two second sinus pause have a class I indication for pacing?
  3. Is an AAIR pacer suitable for symptomatic nonreversible 3rd degree atrioventricular block?