Talk:Sinus node dysfunction

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 27 October 2020 and 27 November 2020. Further details are available on the course page. Student editor(s): PerpetuallyTachy. Peer reviewers: Applebutterfly.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 09:24, 17 January 2022 (UTC)

Untitled

can anyone get an ECG / EKG of this?

There are probably many variations in EKG. I would like to know if an irregular "missing a beat" would be diagnosed as SSS. Pglasson 00:35, 20 March 2007 (UTC)pglasson

The last sentence under "Causes" has a problem in the middle. The sentence is unclear and difficult to correct. Eander315 (talk) 01:01, 26 June 2009 (UTC)

WikiProject Medicine Student Updates

Hi everyone! I am a 4th-year medical student currently taking a Wikiproject course and I would like to propose some updates to this article. The following are some changes I'm proposing and will work on in the coming weeks to modify and update.

Signs and Symptoms: Addition of citations as none of the signs and symptoms seem to have citations attributed to them.
Causes: This section could be expanded and reorganized based on intrinsic and extrinsic causes of sick sinus syndrome with citations to support.
Diagnosis: The listing of ECG findings to diagnose sick sinus syndrome could be reorganized based on bradyarrhythmias, tachyarrhythmia, and tachycardia-bradycardia syndrome (alternating tachyarrhythmia and bradyarrhythmias). Since symptoms and ECG findings can be episodic, this section can be further expanded to mention other diagnostic modalities that could be used.
Treatment: This section could be expanded to elaborate on pacemaker use (dual chamber vs single) as well as some efficacy data regarding treatment. I could potentially include current ACC/AHA guidelines regarding pacemaker implantation.
Epidemiology: This section needs citations and can be further expanded to provide some more data regarding prevalence along with citations.

I will also attempt to add some more ECG images to this article if possible. I would really appreciate any suggestions regarding these proposed updates or anything else I may add. Thanks!__PerpetuallyTachy (talk) 18:21, 30 October 2020 (UTC)

Hey PerpetuallyTachy! I am a fellow student in the WikiProject course and am assigned your article to peer review. I think your additions really add to the public's knowledge of the topic! I would, however, like to propose some edits.

Complications: edit the wording of the final sentence to state shares/shared only once.
Causes: Under extrinsic causes, expand on the different ways that the medications/electrolyte abnormalities can alter the sinus node.
Diagnosis: Under ECG, add slowing of the heart next to sinus bradycardia to help put it into laymen's terms. Under clinical diagnosis, add a wiki link to autonomic nervous system.
Epidemiology: move this section up closer to Signs and Symptoms.
Thanks! Applebutterfly (talk) 19:44, 15 November 2020 (UTC)

Page rename

Hi! I'm proposing a change to the title of this page from Sick sinus syndrome to Sinus node dysfunction (SND) largely because the ACC/AHA/HRS refers to this disease as Sinus node dysfunction in their 2018 guidelines on bradycardia and cardiac conduction delay. Sick sinus syndrome will then direct to this page and the lead will state "Sinus node dysfunction, also known as sick sinus syndrome...". Please let me know if there are any reasons for or against this and can make the changes in a few days. Thank you!--PerpetuallyTachy (talk) 21:14, 23 November 2020 (UTC)

I agree with the change. From the ACC guidelines "Sinus node dysfunction (SND), historically referred to as sick sinus syndrome" and here is the ACC citation (page e57):

Kusumoto, Fred M.; Schoenfeld, Mark H.; et al. (20 August 2019). "2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 140 (8). doi:10.1161/CIR.0000000000000628.

Thank you, Ewingdo (talk) 02:09, 24 November 2020 (UTC)

Thanks Ewingdo! I will make the page move to change the title. --PerpetuallyTachy (talk) 06:28, 30 November 2020 (UTC)