Pacemaker necessary | Pacemaker probably necessary | Pacemaker not necessary |
Symptomatic bradycardia | Symptomatic patients with sinus node dysfunction with documented rates of <40 bpm without a clear-cut association between significant symptoms and the bradycardia | Asymptomatic sinus node dysfunction |
Symptomatic sinus bradycardia due to long-term drug therapy of a type and dose for which there is no accepted alternative |
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