Res Vestib Sci.  2011 Dec;10(4):138-140.

Recurrent Vertigo Episodes due to Sick Sinus Syndrome

• Yu HJ
• Lee KE
• Kang HS
• Roh SY

Abstract

Vertigo due to primary cardiac disease, known as cardiogenic vertigo, has been rarely reported. We report one case showing recurrent vertigo episodes due to sick sinus syndrome. A 77-year-old female presented to our department because of long history of intermittent brief episodes of rotatory vertigo and non-vertiginous dizziness. She had no past medical history. There was no abnormal sign in neurological examination. Cardiac murmur, finally confirmed as grade 4 ejection systolic and grade 3 decrescendo diastolic murmurs, was found on physical examination. Brain magnetic resonance imaging and auditory evoked potential did not show any abnormal findings. She was consulted to a cardiologist for the evaluation of cardiac murmur. After the evaluation using electrocardiogram, echocardiography, and holter monitoring, she was diagnosed as sick sinus syndrome. After then, a ventricle ventricle inhibited (VVI) pacemaker was inserted. She did not complain of vertigo and dizziness for 3 months after the insertion of a VVI pacemaker. This case shows the need of auscultation for patients with recurrent vertigo episodes although there is rare cardiogenic vertigo.

Keyword

Vertigo; Dizziness; Sick sinus syndrome

MeSH Terms

Aged
Auscultation
Brain
Dizziness
Echocardiography
Electrocardiography
Electrocardiography, Ambulatory
Evoked Potentials, Auditory
Female
Heart Diseases
Heart Murmurs
Humans
Magnetic Resonance Imaging
Neurologic Examination
Physical Examination
Sick Sinus Syndrome
Vertigo