Document ID: chunk:federal_register_of_legislation:F2022L00920:reg:7
Version: federal_register_of_legislation:F2022L00920
Segment Type: reg
Provision Reference: reg 7
Character Range: 1651–3740

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about sick sinus syndrome and death from sick sinus syndrome.
Meaning of sick sinus syndrome
(2)          For the purposes of this Statement of Principles, sick sinus syndrome:
(a)          means a group of cardiac arrhythmias caused by dysfunction of the sinus node, in which persistent or intermittent abnormalities of cardiac impulse formation and propagation cause an atrial rate inappropriate for physiological requirements, resulting in clinical symptoms; and
(b)          excludes congenital sick sinus syndrome.
                Note 1: Sick sinus syndrome can manifest as persistent or intermittent sinus bradycardia, sinus pause or sinus arrest, bradycardia-tachycardia syndrome, and other arrhythmias.
                Note 2: Symptoms of sick sinus syndrome typically include fatigue, lightheadedness, palpitations, presyncope, syncope, dyspnoea on exertion, and chest discomfort. Documented sinus node dysfunction correlates with symptoms. Symptoms are frequently intermittent with gradual progression in frequency and severity.
(3)          While sick sinus syndrome attracts ICD‑10‑AM code I49.5, in applying this Statement of Principles the meaning of sick sinus syndrome is that given in subsection (2).
(4)          For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
Death from sick sinus syndrome
(5)          For the purposes of this Statement of Principles, sick sinus syndrome, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's sick sinus syndrome.
Note: terminal event is defined in the Schedule 1 - Dictionary.