What is Adams stroke syndrome?
The Stokes-Adams syndrome is an abrupt, transient loss of consciousness due to a sudden but pronounced decrease in the cardiac output, which is caused by a paroxysmal shift in the mechanism of the heart beat.
Does ADEM cause brain damage?
ADEM typically damages white matter (brain tissue that takes its name from the white color of myelin), leading to neurological symptoms such as visual loss (due to inflammation of the optic nerve) in one or both eyes, weakness even to the point of paralysis, and difficulty coordinating voluntary muscle movements (such …
How do you treat Wenckebach?
No specific therapy is required in the emergency department (ED) for Mobitz I (Wenckebach) second-degree AV block, unless the patient is symptomatic. Patients with suspected myocardial ischemia should be treated with an appropriate anti-ischemic regimen and worked up.
What causes Stokes Adams and Adams Morgagni syndrome?
Stokes-Adams attack (271547004); Stokes-Adams-Morgagni syndrome (46935006); Stokes-Adams syndrome (46935006) A condition of fainting spells caused by heart block, often an atrioventricular block, that leads to BRADYCARDIA and drop in CARDIAC OUTPUT. When the cardiac output becomes too low, the patient faints (SYNCOPE).
How did Marcus Gerbezius describe Stokes Adams syndrome?
1717 – Marcus Gerbezius described two cases, presenting with extremely slow pulse rate and seizures. Both patients suffered from slow but regular pulses, dizziness, syncope, and occasional epileptic seizures. His careful observations of the bradyarrhythmia and seizures, were recorded in detail.
When to use ECG to diagnose Stokes Adams?
ECG is very rarely normal. Diagnosis is based on ECG recording during fainting. In patients with sinus rhythm and bundle-branch block or AV block, ECG monitoring should be performed in hospital, since Stokes-Adams syndrome in these patients is a potentially life-threatening disease.
Can a pacemaker be used for Stokes Adams syndrome?
Pacemaker implantation should be performed in Stokes-Adams syndrome, as oral drug treatment is ineffective. The dual-chamber pacemaker presents the advantages of both physiological heart rate and AV synchrony, but has troublesome side effects.