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Recovery After Treatment with Repeated External Electrical Defibrillation

SYLVAN L. SACOLICK, M.D.; WILLIAM G. STEIN, M.D.; CHARLES K. FRIEDBERG, M.D.

Arch Intern Med. 1962;110(3):299-304.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The association of syncope and convulsions with a slow pulse, termed the MorgagniAdams-Stokes or Adams-Stokes (A-S) syndrome, is usually due to venticular standstill secondary to failure of the idioventricular pacemaker in advanced or complete heart block.¹ Occasionally the A-S syndrome is due to extreme sinus bradycardia without heart block, e.g., rates below 20 per minute, with consequent intolerably prolonged cerebral ischemia between ventricular beats. In some cases of heart block and A-S syndrome due to ventricular standstill, other attacks of A-S syndrome may be due to paroxysms of ventricular tachycardia or ventricular fibrillation. However, it is uncommon for the cardiac arrest in a given case of A-S syndrome to be due exclusively to ventricular fibrillation as contrasted with ventricular standstill. Although cases of A-S syndrome due exclusively to ventricular fibrillation in the presence of complete heart block have been reported, we have never previously documented this in any patient . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital.

Footnotes
Submitted for publication April 14, 1962, accepted for publication May 15, 1962.

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