Case One: The Sudden Fall

Treatment

The patient DOES need a pacemaker as definite sinus node dysfunction is seen and the patient has definite symptoms related to the bradycardia.

Indications For A Pacemaker In SSS
- Class I
  - Evidence of symptomatic bradycardia which can be intrinsic (or iatrogenic) in some patients. This type of bradycardia is a result of long-term drug therapy which has no accepted alternative dosage or type. Evidence of frequent sinus pause.
  - Chronotropic incompetence with appropriate symptoms.
- Class IIa
- Class IIb
- Class III
- Types Of Pacemakers
Advantages Of Physiologic Pacing Vs. Single Chamber Pacing (Ventricular)
See What Was Actually Done

Information obtained from ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices