Sick Sinus症候群 6例에 關한 考察 = A Study on the Six cases of Sick Sinus Syndrome

다국어 초록 (Multilingual Abstract)

Six cases of sick sinus syndrome were presented and relevent literature were reviewed. Their electrocardiographic findings were revealed Tachycardia-Bradycardia syndrome (l patient), chronic persistent atrial fibrillation(2 patients), chronic persistent bradycardia (2 patients), and A-V junctional bradycardia,
Above abnormal electrocardiographic findings were no changed after medical provocation test with atropine and isoproterenol.
Prominent clinical symptoms were dizziness, syncope and their underlying diseases were hypertension, valvular heart disease, myocardiopathy and chest trau'na.
Prognosis of presented cases was favorable in 4 cases with medical therapv but 2 cases were not controlled.
1912年 Cohn等은 發作性 心房細動과 一時 心停止로 因한 Stokes-Adams 症候가 있는 患者에서 Sick sinus 症候群을 처음 報告란 이래 臨未心傳導學, 心導子法 및 His束電圖의 發達로 從來에는 單純한 慢生 徐脈 또는 心房細動等으로 看過하기 쉬웠던 本 疾患이 臨床的으로 重要視되게 되었다.
特히 最近에는 心筋內의 電氣生理學的現象 및 刺戟傳導에 對한 새로운 槪念이 導入되면서는 本症의 原因이 되는 洞房結節의 機能異常에 對한 病因, 病態生理 等이 밝혀짐으로 해서 診斷과 治療 및 患者管理面에서 큰 進展을 가져오게 되었다.
著者等은 最近 本病院 內科 心電圖室에서 Sick Sinus症候群로 思料되는 患者 6例를 經驗하고 各 症例들의 基底疾患 및 臨床經過等을 觀察하였기에 報告하는 바이다.