Sino-atrial disease: prevalence, diagnosis and outcome

Détails

ID Serval
serval:BIB_24207BEDFE05
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Collection
Publications
Titre
Sino-atrial disease: prevalence, diagnosis and outcome
Titre de la conférence
2nd European Workshop in Aviation Cardiology
Auteur(s)
Kappenberger L., Schläpfer J.
Adresse
Hertford, England, June 24-26, 1998
ISBN
1520-765X[lectronic]
Statut éditorial
Publié
Date de publication
1999
Volume
1
Série
European Heart Journal. Supplements
Pages
D105-D108
Langue
anglais
Notes
The diagnosis of sinus-node dysfunction is primarily based on electrocardiographic findings. Sinus-node disease is characterized by arrhythmia and by symptoms. Symptoms such as syncope, light-headedness, dizziness and reduced exercise tolerance due to chronotropic incompetence are manifestations of pathological heart rate control that should disqualify from aircrew licensing. Sinus bradycardia beyond the defined normal range and sinus pauses can be observed also in asymptomatic patients but warrant further investigation including exercise electrocardiography (to maximal heart rate) and Holter monitoring (to exclude subclinical pauses longer than 3 s, inappropriate bradycardia less than 30 beats . min-1, or paroxysmal atrial fibrillation). Even in the absence of such arrhythmias unrestricted licensing may be limited. When electrocardiographic abnormality raises a suspicion of sinus node disease, although test results are normal, repeated annual investigations are recommended for continued re-licensing which may need to be restricted to multi-crew operation.
Mots-clé
Sinus node , Prevalence , Diagnosis , Disease , Evolution , Human , Exploration , Air transportation , Licence , Crew , Pathophysiology , Cardiovascular disease , Heart disease , Arrhythmia
Web of science
Création de la notice
07/10/2009 13:15
Dernière modification de la notice
03/03/2018 14:57
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