best PM for SSS
Hello everyone. I am a 48 year old male with a diagnosis of Sick sinus syndrome. I have not yet had a PM implanted but it seems that it might be my best permanent option to get a better quality of life: general tireness, extra systoles at times, and some light headaches. I have never had any syncopes and no AV block or AF. I still work out several times a week so not suffering from chronic incompetence. But heart rate is in the low end below 50 due to being low at night in particular. I would ideally like to have a leadless PM implanted as this seems to be the future with a quick recovery time but as I understand people with SSS need a dual chamber pacing and these are not yet available in the leadless form. On the other hand there has also been some suggestions saying that AAIR pacing could be sufficient for people only suffering from SSS without further complications e.g. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211929/
But I guess none of the leadless PMs on the market today are AAIR paced only VVRI paced from e.g. Medtronic (Micra av not realy qualifying here even if there is some Atrial stimulation) or Abbott (that acquired St Jude). Any other firms working in this field?
Any feedback here woould be most appreciated. br MG