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Advanced Technical IVT

Brady-tachy syndrome

A form of sick sinus syndrome characterized by alternating periods of bradycardia and tachycardia. Often requires pacemaker therapy for management.

Full Definition

Brady-tachy syndrome, also known as tachy-brady syndrome, is a specific manifestation of sick sinus syndrome where patients experience alternating episodes of bradycardia and tachycardia. The bradycardia is typically due to sinus node dysfunction, while the tachycardia often consists of atrial flutter or atrial fibrillation. This condition presents unique therapeutic challenges as antiarrhythmic medications used to control tachycardia may worsen bradycardia. Permanent pacemaker implantation is frequently required to allow safe use of rate-controlling medications.

Usage

Usage note: Hyphenate both brady-tachy and tachy-brady when used as compound adjectives.

In Context

  • "The patient's Holter monitor demonstrated classic brady-tachy syndrome with episodes of sinus bradycardia alternating with rapid atrial fibrillation." — Electrophysiology consultation
  • "Pacemaker implantation was recommended to manage the patient's brady-tachy syndrome before initiating antiarrhythmic therapy." — Treatment plan documentation

Also known as

tachy-brady syndrome alternating bradycardia-tachycardia

Contrasted with

normal sinus rhythm stable heart rhythm

Don't confuse with

sick sinus syndrome atrial fibrillation

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