Title:Evaluation and Management of Asymptomatic Bradyarrhythmias
VOLUME: 16
Author(s):Göksel Çinier*, Sohaib Haseeb, Giorgos Bazoukis, Cynthia Yeung and Enes Elvin Gül
Affiliation:Department of Cardiology, Kaçkar State Hospital, Rize, Queen’s University, Kingston, Second Department of Cardiology, Laboratory of Cardiac Electrophysiology, Evangelismos General Hospital of Athens, Athens, Queen’s University, Kingston, Division of Cardiac Electrophysiology, Madinah Cardiac Centre
Keywords:asymptomatic, atrioventricular block, bradyarrhythmias, cardiac pacing, sinus node dysfunction
Abstract:Asymptomatic bradyarrhythmias involving sinus node dysfunction and atrioventicular blocks are frequently
noted in clinical practice. Its prevalence is expected to rise as devices that are developed for monitoring cardiac rhythm for
longer duration become more widely available. Episodes of bradyarrhythmia that are asymptomatic are considered to have
a benign course compared with those that cause symptoms, and do not necessitate further treatment. However, in certain
cases, they can be a harbinger of future symptoms or cardiac manifestations of systemic diseases. The evaluation and risk
stratification of individuals presenting with asymptomatic bradyarrhythmias is important not only for preventing
implantation of unnecessary permanent pacing devices but also for reducing significant morbidity by implementing proper
treatment as required. In this article, we will review the current evidence on the pathophysiology, diagnosis, evaluation
and management of patients with asymptomatic bradyarrhythmias.
