If a person with sick sinus syndrome is having significant symptoms, a permanent device to help control the heartbeat is often used. This device is called a pacemaker. This device causes the heart to beat by creating tiny bursts of electricity that are sent to the heart. It only "fires" when it is needed, but can be lifesaving.
Sometimes, medications, such as amiodarone, are used to control arrhythmias. Blood thinners, such as warfarin, may be used to help prevent blood clots in those with certain arrhythmias.
Discharges from a pacemaker can be uncomfortable. The device can occasionally misfire and cause heartbeat problems. Medications used to control arrhythmias may cause allergic reactions, stomach upset, and new arrhythmias. Medications that thin the blood may cause allergic reactions and serious abnormal bleeding.
Most people do very well after they receive a pacemaker. Though it may occasionally "fire" and cause discomfort, the pacemaker helps prevent dangerous symptoms, such as dizziness and fainting. Someone with other heart disease or arrhythmias usually needs lifelong treatment for these conditions.
The healthcare provider will recommend regular visits to monitor symptoms and treat any heart disease. Pacemakers need to be checked periodically to make sure they are working properly. Pacemakers also have a battery that needs to be replaced from time to time. Blood tests are needed to check the "thickness" of the blood when a person is on blood-thinning medications. Other medications may also need monitoring, which can include blood tests. Any new or worsening symptoms should be reported to the healthcare provider.