Patients with sinus node dysfunction must have which of the following to be certified?

Patients with sinus node dysfunction must have regular follow-up with a healthcare provider to be certified. This requirement is essential because sinus node dysfunction, which may manifest as bradycardia or other rhythm disturbances, can lead to significant health risks if not monitored properly. Regular follow-up ensures that any changes in the patient's condition are noted, and appropriate management strategies, such as adjustments in medication or the potential need for interventions like pacemaker implantation, can be implemented in a timely manner.

While having no symptoms and obtaining a signed statement from a specialist may be relevant in certain contexts, they do not directly address the ongoing need for monitoring and management of the patient’s condition. Regular check-ups provide a critical framework for ensuring patient safety and effective treatment of their cardiac status over time. Therefore, the focus on continuous follow-up is not only a precautionary measure but also a vital component of managing sinus node dysfunction appropriately.