Sick sinus syndrome physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Patients with sick sinus syndrome usually appear normal. Physical examination of patients with sick sinus syndrome is usually remarkable for bradycardia, tachycardia, and signs of the organ hypoperfusion.

Physical Examination

Physical examination of patients with sick sinus syndrome is usually remarkable for bradycardia, tachycardia, and signs of the organ hypoperfusion.^[1]

Appearance of the Patient

Patients with sick sinus syndrome usually appear normal.

Vital Signs

Tachycardia with regular pulse^[2]
Bradycardia with regular pulse

Skin

Skin examination of patients with sick sinus syndrome is usually normal.

HEENT

HEENT examination of patients with sick sinus syndrome is usually normal.

Neck

Neck examination of patients with sick sinus syndrome is usually normal.

Lungs

Pulmonary examination of patients with sick sinus syndrome is usually normal.

Heart

Cardiovascular examination of patients with sick sinus syndrome is usually remarkable for:
- Tachycardia
- Bradycardia

Abdomen

Abdominal examination of patients with sick sinus syndrome is usually normal.

Back

Back examination of patients with sick sinus syndrome is usually normal.

Genitourinary

Genitourinary examination of patients with sick sinus syndrome is usually normal.

Neuromuscular

Neuromuscular examination of patients with sick sinus syndrome is usually normal.
Focal neurologic signs may be present in the case of stroke or transient ischemic attacks caused by sick sinus syndrome-hypoperfusion.

Extremities

Extremities examination of patients with sick sinus syndrome is usually normal.

References

↑ Scarpa WJ (1976). “The sick sinus syndrome”. Am Heart J. 92 (5): 648–60. PMID 185894.
↑ Rubenstein, Joel J.; Schulman, Charles L.; Yurchak, Peter M.; Desanctis, Roman W. (1972). “Clinical Spectrum of the Sick Sinus Syndrome”. Circulation. 46 (1): 5–13. doi:10.1161/01.CIR.46.1.5. ISSN 0009-7322.

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[pmid185894-1] Scarpa WJ (1976). “The sick sinus syndrome”. Am Heart J. 92 (5): 648–60. PMID 185894.

[RubensteinSchulman1972-2] Rubenstein, Joel J.; Schulman, Charles L.; Yurchak, Peter M.; Desanctis, Roman W. (1972). “Clinical Spectrum of the Sick Sinus Syndrome”. Circulation. 46 (1): 5–13. doi:10.1161/01.CIR.46.1.5. ISSN 0009-7322.

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