Turkish Journal of
GERIATRICS

Central Hospital, Kardiyoloji KliniÄŸi, Uzm.Dr., Ä°zmir
Central Hospital, Kardiyoloji KliniÄŸi, Uzm.Dr., Ä°zmir
Ege Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, Doç.Dr., İzmir
Ege Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, Prof.Dr., İzmir Sick sinus syndrome (SSS) is commonly seen in the elderly and, in most cases, does not cause any symptoms. Despite the high number of laboratory investigations, most diagnoses of SSS are made by 12-lead electrocardiography. Holter monitoring, exercise testing and electrophysiologic studies are sometimes useful in detecting SSS. Symptoms are often intermittent, changeable and unpredictable. Treatment should be aimed at controlling complications and relieving symptoms. Cardiac pacemaker implantation is the most powerful therapy; physiologic pacing (atrial or dual-chamber) has been shown definitively to be superior to ventricular pacing. In this review, etiopathologic and clinical features of SSS, the laboratory investigations that using for diagnosis and management of therapy were reviewed. Keywords : Sick sinus syndrome, Syncope, Bradycardia