RT Book, Section A1 Bashore, Thomas M. A1 Granger, Christopher B. A1 Jackson, Kevin P. A1 Patel, Manesh R. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1184695865 T1 Sinus Arrhythmia, Bradycardia, & Tachycardia T2 Current Medical Diagnosis & Treatment 2022 YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269389 LK accessmedicine.mhmedical.com/content.aspx?aid=1184695865 RD 2024/04/25 AB ESSENTIALS OF DIAGNOSISWide variation in sinus rate is common in young, healthy individuals and generally not pathologic.Symptomatic bradycardia may require permanent pacemaker implantation, especially in the elderly or patients with underlying heart disease.Sinus tachycardia is usually secondary to another underlying process (ie, fever, pain, anemia, alcohol withdrawal).Sick sinus syndrome manifests as sinus bradycardia, pauses, or inadequate heart rate response to physiologic demands (chronotropic incompetence).