Prognosis of Patients Permanently Paced for Sick Sinus Syndrome

Armand J. Wohl, N. Joseph Laborde, James M Atkins, C. Gunnar Blomqvist, Charles B Mullins

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Abstract

In 39 patients (mean age, 66 years) treated for sick sinus syndrome (SSS) with pacemaker insertion, the long-term prognosis was studied. Fifteen patients (42%) died during the follow-up period of 6 to 59 months (mean, 25 months). Three patients were unavailable for follow-up. Eleven of the 15 deaths (73%) were cardiac-related, yet none could be associated with either an arrhythmia or pacemaker failure. Symptoms recurred or persisted after pacemaker insertion in 14 patients (mean age, 71 years), nine of whom died (31 deaths per 100 patient follow-up years). Twenty-two patients (mean age, 63 years) were asymptomatic after pacer insertion, six of whom died (11 deaths per 100 patient follow-up years). These follow-up results demonstrate a poor long-term prognosis in patients with SSS and persistent symptoms following permanent pacing.

Original languageEnglish (US)
Pages (from-to)406-408
Number of pages3
JournalArchives of Internal Medicine
Volume136
Issue number4
DOIs
StatePublished - 1976

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Sick Sinus Syndrome
Cardiac Arrhythmias

ASJC Scopus subject areas

  • Internal Medicine

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Prognosis of Patients Permanently Paced for Sick Sinus Syndrome. / Wohl, Armand J.; Laborde, N. Joseph; Atkins, James M; Blomqvist, C. Gunnar; Mullins, Charles B.

In: Archives of Internal Medicine, Vol. 136, No. 4, 1976, p. 406-408.

Research output: Contribution to journalArticle

Wohl, Armand J. ; Laborde, N. Joseph ; Atkins, James M ; Blomqvist, C. Gunnar ; Mullins, Charles B. / Prognosis of Patients Permanently Paced for Sick Sinus Syndrome. In: Archives of Internal Medicine. 1976 ; Vol. 136, No. 4. pp. 406-408.
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abstract = "In 39 patients (mean age, 66 years) treated for sick sinus syndrome (SSS) with pacemaker insertion, the long-term prognosis was studied. Fifteen patients (42{\%}) died during the follow-up period of 6 to 59 months (mean, 25 months). Three patients were unavailable for follow-up. Eleven of the 15 deaths (73{\%}) were cardiac-related, yet none could be associated with either an arrhythmia or pacemaker failure. Symptoms recurred or persisted after pacemaker insertion in 14 patients (mean age, 71 years), nine of whom died (31 deaths per 100 patient follow-up years). Twenty-two patients (mean age, 63 years) were asymptomatic after pacer insertion, six of whom died (11 deaths per 100 patient follow-up years). These follow-up results demonstrate a poor long-term prognosis in patients with SSS and persistent symptoms following permanent pacing.",
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