J Korean Soc Neonatol.  2011 Nov;18(2):395-398. 10.5385/jksn.2011.18.2.395.

A Case of Sick Sinus Syndrome in Extremely Low Birth Weight Infant with Annular Pancreas

• Kim JE
• Bauer S
• Boo YJ
• Lee JH
• Jang GY
• Choi BM
• Park MS

• KMID: 2099221
• DOI: http://doi.org/10.5385/jksn.2011.18.2.395

Abstract

Sick sinus syndrome (SSS) is a disorder characterized by sinus node dysfunction. Although the condition is most common in the elderly, it can occur in children including neonates and its recognition and treatment are important. The diagnosis of SSS is based on the presence of sinus bradycardia, sinus arrest or exit block, combinations of sinoatrial and atrioventricular nodal conduction disturbances, and atrial tachyarrhythmias documented in the Holter recordings. In most children with SSS, previous history of congenital heart malformation or cardiac surgery is noted. SSS is also seen in the children including neonates without heart disease or other contributing factors, however SSS is most often idiopathic. The treatment of SSS depends on the basic rhythm problem, but generally involves the placement of a cardiac pacemaker. We report a case of SSS in extremely low birth weight infant without congenital heart disease and suggest that the treatment system is necessary for preterm infants with SSS.

Keyword

Sick sinus syndrome; Infant; Extremely low birth weight; Preterm birth; Arrythmia; Cardiac

MeSH Terms

Aged
Arrhythmias, Cardiac
Bradycardia
Child
Heart
Heart Diseases
Humans
Infant
Infant, Extremely Low Birth Weight
Infant, Newborn
Infant, Premature
Pancreas
Pancreatic Diseases
Premature Birth
Sick Sinus Syndrome
Tachycardia
Thoracic Surgery
Pancreas
Pancreatic Diseases