[Cilostazol and sick sinus syndrome].

Medicina · Jan 2020

Case Reports

[Cilostazol and sick sinus syndrome].

Here we present the case of a 60-year-old patient with sinus node disease (NSS), symptomatic with dizziness and angor. The electrocardiogram showed episodes of sinus pauses with nodal escapes. During hospitalization, pending the placement of a definitive pacemaker, cilostazol (100 mg every 12 hours orally) was indicated, observing an increase in heart rate 48 hours after starting the medication, and the disappearance of sinus pauses in the 24 hours Holter. Our objective has been to show that cilostazol can be useful in patients with SNN, although long-term chronotropic effects of this treatment has yet to be evaluated.

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- Víctor S Villecco, María Laura Estrella, Leandro Bono, Edgar Antezana Chávez, Juan A Gagliardi, and Jorge Szarfer.
- Hospital de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina. E-mail: sebastianvillecco@hotmail.com.
- Medicina (B Aires). 2020 Jan 1; 80 (5): 563-565.
AbstractHere we present the case of a 60-year-old patient with sinus node disease (NSS), symptomatic with dizziness and angor. The electrocardiogram showed episodes of sinus pauses with nodal escapes. During hospitalization, pending the placement of a definitive pacemaker, cilostazol (100 mg every 12 hours orally) was indicated, observing an increase in heart rate 48 hours after starting the medication, and the disappearance of sinus pauses in the 24 hours Holter. Our objective has been to show that cilostazol can be useful in patients with SNN, although long-term chronotropic effects of this treatment has yet to be evaluated.

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[Cilostazol and sick sinus syndrome].

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