Tuesday, 17 November 2015

sick sinus syndrome | AIPGMEE Preparations

Which of the following is untrue regarding “sick sinus syndrome:- A. Occurs most commonly in elderly 
B. conduction disease due to interruption of Fibers of Kent
C. ECG manifestations are often intermittent 
D. Most symptomatic patients will require permanent pacing

Ans. B.  Conduction disease due to interruption of Fibers of Kent
Sick sinus syndrome is usually caused by idiopathic fibrosis of the sinus node.
- Coronary disease is an uncommon cause.

- Pharmacologic therapy for sick sinus syndrome has been difficult but recent studies have indicated that oral theophylline may be effective especially when sinus bradycardia is the major manifestation.