Symptomatic sinus node dysfunction in children without structural heart disease

SM Yabek, T Dillon, W Berman Jr, CJ Niland - Pediatrics, 1982 - publications.aap.org
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 …