TREATMENT OF STOKES-ADAMS SYNDROME

[Treatment of stokes-adams syndrome].

概 要 Stokes-Adams症 候群はisogroterenol hydrochlorideを 中心 とす る薬 物療 法,種 々の蘇生術 お よ び電 気ペ ース メーカーの発達 に よ り治癒可能 の疾患 となつた.最 近著者 らが経験 した主 として徐 拍動 型 反復性Stokes-Adams症 候群を有す る7症 例の うち2例 は薬物療 法 に 終始 して死亡 し,5例 は薬 物 療 法に よ り数回 の危機 を脱 した後,植 込式電気 ペ ース メーカー装填 を行ない,全 例 日常生活 に復帰 し た.著 者 らの例 でも洞調律 時,高 率 に右脚 ブ ロ ックを認め,左 軸偏位 を とるものが 多い.血 清蛋 白は 一般に低 くα 2-グロブ リンの 増 加例がみ られ る.Stokes-Adams発 作に対す る救急処 置 と してisoproterenol hy...

Intracardiac pacing as emergency treatment in Adams-Stokes syndrome.

In most cases of atrioventricular block with Adams-Stokes attacks the application of either an endocardial or an epicardial electrode for artificial pacing can be performed in the operating-theatre with all necessary equipment available. In some cases, however, the situation is more dramatic: electrical pacing may be necessary without any delay, and it may be impossible to transfer the patient ...

An Example of the Stokes-Adams Syndrome

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...

Ventricular Arrhythmia and Stokes - Adams Syndrome

An unusual case of ventricular arrhythmia is reported with electrocardiograms showing complete attacks of ventricular tachycardia, ventricular flutter and ventricular fibrillation. The etiology is unknown. Large doses of quinidine, to the point of toxicity, seemed to halt the arrhythmia but did not prevent its recurrence. Ephedrine was given with resulting immediate improvement and no recurrenc...