title: [Differential therapeutic problems in sinus node syndrome--drug or electrical therapy?].
abstract: 121 hospitalised patients with electrophysiologically ascertained sick sinus syndrome were ambulatorily observed for two and a half years. The knowledge of the electrophysiological parameters allowed in every case an exact estimation of the degree of severity. Patients with preponderantly isolated disturbance of the sino-atrial node automatism, the sino-atrial conduction and the nervous regulation (patients with carotid sinus syndrome) as well as the majority of patients with bradycardia-tachycardia-syndrome were conservatively treated. Patients with high-degree combined disturbances of the sinus node partial functions were electrically treated. Every cardiac syncope in the medicamentously treated sick sinus node syndrome is the absolute indication for a pacemaker implantation. The further observation in the outpatient department showed that in many patients with symptomatic sick sinus node syndrome an attempt of conservative treatment is justified.
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001285:Atropine / Q000627:therapeutic use; D002036:Bundle of His / Q000503:physiopathology; D002301:Cardiac Glycosides / Q000627:therapeutic use; D004206:Disopyramide / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D009921:Metaproterenol / Q000627:therapeutic use; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011379:Prognosis; D012804:Sick Sinus Syndrome / Q000503:physiopathology / Q000628:therapy*; D012849:Sinoatrial Node / Q000503:physiopathology; D014700:Verapamil / Q000627:therapeutic use
chemical_list: D000889:Anti-Arrhythmia Agents; D002301:Cardiac Glycosides; D009921:Metaproterenol; D001285:Atropine; D014700:Verapamil; D004206:Disopyramide
vernacular_title: Differentialtherapeutische Probleme beim Sinusknotensyndrom--medikamentöse oder elektrische Therapie?