STOKES-ADAMS' DISEASE (HEART BLOCK).

Adams-Stokes syndrome caused by sinoatrial block.

Forty-six patients with syncope and/or black-out episodes due to sinoatrial block are presented. Male-tofemale ratio was i to i, and mean age at onset of symptoms approximately 63 years in both sexes. Additional heart disease, especially coronary artery disease, was frequently, but not constantly, found. Twenty-five per cent had sinus node dysfunction as the only manifestation of cardiac diseas...

Stokes-Adams attacks induced by rectal stimulation in a patient with complete heart block.

This paper reports a case of complete heart block whose Stokes-Adams attacks were induced by straining at stool and invariably by digital stimulation of the rectum. Electrocardiograms during attacks exhibited high ventricular tachycardia or fibrillation and chaotic heart action. IN 1941, Parkinson, Papp and Evans' reported their observations on the electro-cardiogram of the Stokes-Adams attack....

A Historic Instance of the Adams-Stokes Syndrome Due to Heart-Block

Complete heart block with Stokes Adams attack from transient ventricular fibrillation.

TOKES Adams attacks with loss of consciousness due to a sudden decline in cardiac output usually occurs in patients with complete heart block. The precipitating event is ventricular asystole, ventricular flutter-fibrillation or a combination of both arrhythmias. Ventricular fibrillation may follow a period of asystole, or ventricular fibrillation may precede a period of asystole. Infrequently t...

Adams-Stokes syndrome caused by paroxysmal third-degree atrioventricular block.

Among I70 patients with Adams-Stokes syndrome, the majority had sinus rhythm between attacks. Clinical and electrocardiographic features of 67 patients in whom syncope was caused by paroxysmal third-degree atrioventricular block are discussed. The patients had normal pulse rates between attacks, their cerebral symptoms were usually not accompanied by cardiac symptoms, and 25 per cent had no sym...