The pacemaker stimulates (paces) the heart as needed to keep it beating regularly. A pacemaker is a small, battery-powered device that's implanted under the skin near the collarbone during a minor surgical procedure. Most people with sick sinus syndrome eventually need a permanent device to control the heart rhythm (pacemaker). It's used for continuous, long-term monitoring of the heart's electrical activity, particularly for people who have infrequent symptoms. This small device is implanted just under the skin of the chest. Ask your health care provider if this is an option for you. Some personal devices, such as smart watches, offer electrocardiogram monitoring. You typically press a button when symptoms occur. This portable device is intended to be worn for up to 30 days or until you have an irregular heartbeat or symptoms. A person wearing a monitor might also keep a diary of symptoms. It automatically records the heart's activity for 24 to 72 hours. This portable device can be worn for a day or more during daily activities. A health care provider can look for signal patterns to determine if sick sinus syndrome is present. An electrocardiogram (ECG) can tell how fast or slow the heart is beating. Wires attach the sensors to a computer, which displays or prints results. Sensors (electrodes) are attached to the chest and legs. This simple test measures the electrical activity of the heart. To determine whether symptoms are related to problems with the sinus node and heart function, a health care provider may use the following tests: You may not have symptoms at the time of the appointment. Symptoms of sick sinus syndrome - such as dizziness, shortness of breath and fainting - only occur when the heart is beating irregularly. To diagnose sick sinus syndrome, a health care provider performs a physical exam and asks about symptoms and medical history.
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