PEDIATRICS Vol. 69 No. 5 May 1982, pp. 590-593
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Symptomatic Sinus Node Dysfunction in Children Without Structural Heart Disease

Steven M. Yabek MD1, Terrence Dillon MD1, William Berman Jr MD1, and Colleen J. Niland RN1

1 Department of Pediatrics, University of New Mexico, School of Medicine, Albuquerque

Symptomatic sinus node dysfunction rarely occurs in children with structurally normal hearts. Three children with syncope and bradycardia are described. Noninvasive and invasive testing revealed isolated sinus node dysfunction and normal cardiac anatomy. Electrophysiologic evaluation showed abnormalities of sinus node automaticity and sinoatrial conduction. All three patients were treated with permanent ventricular pacemakers and have remained asymptomatic. Sinus node dysfunction should be considered in the differential diagnosis whenever a child is seen with unexplained dizziness or syncope.

Submitted on March 16, 1981
Accepted on July 10, 1981




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