prolonged asystole
Recently Published Documents


TOTAL DOCUMENTS

33
(FIVE YEARS 1)

H-INDEX

7
(FIVE YEARS 0)

Author(s):  
Chiara Valeriano ◽  
Stefano Figliozzi ◽  
Lorenzo Monti

Abstract A previously asymptomatic 20-year-old woman with mitral valve prolapse presented with ventricular fibrillation. After subcutaneous cardiac defibrillator implantation, she experienced sinus arrest without ventricular escape.


2019 ◽  
pp. 73-77
Author(s):  
Peter Novak

This chapter describes a characteristic pattern of neurally mediated mixed syncope on the tilt test with prolonged asystole.


2018 ◽  
pp. bcr-2018-226427 ◽  
Author(s):  
Cyrill Meuwly ◽  
Gregor Leibundgut ◽  
Thomas Rosemann ◽  
Bernhard Schaller

The trigeminocardiac reflex (TCR) is defined as a sudden onset of parasympathetic dysrhythmias during stimulation of the trigeminal nerve. We describe a peripheral variation of TCR during manipulation of the nasal mucosa. A 42-year-old patient suffering from severe obstructive sleep apnoea was scheduled for surgical treatment. After inducted anaesthesia, the surgeon infiltrated the nasal mucosa with a local anaesthetic. The patient immediately showed an asystole and was treated with ephedrine and five chest compressions, despite spontaneous sinus rhythm return after ceasing of manipulation. Treatment with atropine established this TCR episode and ensured an event-free surgery.The authors present here, for the first time, a prolonged asystole caused by the TCR, triggered by minimal manipulation of the nasal mucosa. This severe manifestation of peripheral TCR demonstrates its importance in daily clinical business. This case was treated according to a modified treatment algorithm for all subtypes of TCR which is presented here.


2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Felix Strangl ◽  
Michael Schwarzl ◽  
Benedikt Schrage ◽  
Gerold Söffker

2017 ◽  
Vol 168 (8) ◽  
pp. 602 ◽  
Author(s):  
Sabina Rosset ◽  
Olivier Müller ◽  
Etienne Pruvot ◽  
Patrizio Pascale

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Mohammad Saud Khan ◽  
Abhinav Tiwari ◽  
Zubair Khan ◽  
Himani Sharma ◽  
Mohammad Taleb ◽  
...  

Reversible acetylcholinesterase inhibitors are used as first-line treatment for myasthenia gravis. They improve symptoms by increasing concentration of acetylcholine at the neuromuscular junction and stimulating nicotinic receptors. Serious bradyarrhythmias can occur from muscarinic stimulation in heart, which in rare cases may progress to asystole. These patients can initially be managed with hyoscyamine, a muscarinic antagonist. Persistence of bradyarrhythmias even after hyoscyamine treatment may warrant pacemaker placement. We present a case of 65-year-old female patient who presented with diplopia, dysphagia, and muscle weakness who was diagnosed with myasthenia gravis. She developed significant sinoatrial node block with prolonged asystole after starting treatment with pyridostigmine which was successfully treated with hyoscyamine, thus avoiding pacemaker placement.


2016 ◽  
Vol 12 (5) ◽  
pp. 533-538 ◽  
Author(s):  
Wasim Javed ◽  
Parminder S Chaggar ◽  
Rajamiyer Venkateswaran ◽  
Steven M Shaw

2016 ◽  
Vol 203 ◽  
pp. 482-485 ◽  
Author(s):  
Arunashis Sau ◽  
Roberto Mereu ◽  
Patricia Taraborrelli ◽  
Niti M. Dhutia ◽  
Keith Willson ◽  
...  

2015 ◽  
Vol 38 (8) ◽  
pp. 973-979 ◽  
Author(s):  
MARIA SALOMÉ CARVALHO ◽  
KATYA REIS SANTOS ◽  
PEDRO CARMO ◽  
DIOGO CAVACO ◽  
LEONOR PARREIRA ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document