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However, symptoms may include the following: * Syncope * Dizziness * Lightheadedness * Chest pain * Shortness of breath * Exercise intolerance -The physical examination is generally nonspecific, although it may reveal the following signs: * Decreased level of consciousness * Cyanosis * Peripheral edema * Pulmonary vascular congestion * Dyspnea * Poor perfusion * Syncope Causes * One of the most common pathologic causes of symptomatic sinus bradycardia is the sick sinus syndrome. Therefore, we concluded that the patient also has concomitant sick sinus syndrome and we decided to implant a pacemaker. Her past medial history included hypertension, gastroesophageal reflux disease and sick sinus syndrome with pacemaker placement. |
sick sinus syndrome |
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