Sick Sinus Syndrome =================== þ Causes of SSS: - Digitalis, quinidine, beta-blockers, and aerosol propellants all can cause a temporary sick sinus syndrome. [Marriott, Practical Electrocardiography 8th ed. p 356] þ Definition and Natural History - The sick sinus syndrome is any form of sinus nodal depression - - marked bradycardia, sinus arrest, or sinus block. þ "Tachy-brady" Syndrome - can be seen as a special subset of sick sinus syndrome in which the periods of sinus node depression alternate with bursts of atrial tachycardia (often atrial fibrillation). [Marriott, Practical Electrocardiography 8th ed. p 356]