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Neonatal Med > Volume 18(2); 2011 > Article
Journal of the Korean Society of Neonatology 2011;18(2):395-398.
DOI: https://doi.org/10.5385/jksn.2011.18.2.395    Published online November 25, 2011.
A Case of Sick Sinus Syndrome in Extremely Low Birth Weight Infant with Annular Pancreas.
Ji Eun Kim, Siegfried Bauer, Yoon Jung Boo, Jang Hoon Lee, Gi Young Jang, Byung Min Choi, Moon Sung Park
1Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea.
2Department of Pediatric Surgery, College of Medicine, Korea University, Seoul, Korea.
3Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea. neopedlee@gmail.com
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.
Key Words: Sick sinus syndrome, Infant, Extremely low birth weight, Preterm birth, Arrythmia, Cardiac


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