Table 3

 Sinus node dysfunction diagnostic criteria6

1. Sinus bradycardia
• Neonates and infants: <60 beats/min asleep and <80 beats/min awake
• Children aged 2–6 years: <60 beats/min
• Children aged 7–11 years: <45 beats/min
• Adolescents and young adults: <40 beats/min
• Endurance and other highly trained athletes: <30 beats/min
2. Severe sinus arrhythmia (variation in RR interval of ⩾100%)
3. Sinus pause or arrest
4. Escape rhythms at slow rate
5. Sinoatrial exit block (second degree, type I and II)
6. Bradycardia/tachyarrhythmia