Sick sinus syndrome Treatment
1. Etiological treatment:
The first, should be clear possible causes, if coronary artery stenosis were feasible percutaneous coronary angioplasty, and use nitroglycerin to improve coronary blood supply. Myocarditis is available mixture of energy, high-dose vitamin C intravenous infusion.
For patients with non-associated fast arrhythmias, try to use atropine, ephedrine or isoproterenol to increase heart rate. 600-1000mg of nicotinamide dissolved in 10% glucose intravenous infusion of 250-500ml 1 day, heart rate slowed down to avoid the use of drugs such as β-blockers and calcium antagonists and so on.
3. The installation of on-demand type of artificial cardiac pacemakers: the best choice of atrial pacing (AAI) or the frequency of response-type pacemaker, on the basis of control with antiarrhythmic drug Tachyarrhythmia.
Sick sinus syndrome Treatment should be aimed at the cause. Slow heart rate or with significant symptoms may try atropine, oral salbutamol. Binodal disease, syndrome, as well as slow-fast for a clear lack of blood, such as near-syncope or symptoms of patients with syncope should be resettled in accordance with required artificial cardiac pacemaker, atrioventricular sequential pacing than VVI demand more in line with the physiological requirements. Tachyarrhythmia merger, and after installation of pacemaker control plus drug seizure tachyarrhythmias. Recently, there are program-controlled automatic scanning with cardioversion for the treatment of slow-fast syndrome (see Chapter artificial pacemaker), according to VVI bradycardia pacing, tachycardia attack from VVI to VVT, issued scanning burst stimulation or stimulation terminated tachycardia. Patients with sick sinus syndrome avoid to take drugs which is slow down the heart rate, such as antihypertensive drugs, antiarrhythmic drugs, cardiac drugs, β-adrenergic blockers and calcium antagonists. When fibrillation or atrial flutter attack, should not be electrical cardioversion.