ELECTROCARDIOGRAPHIC PATTERNS IN STOKES-ADAMS SYNDROME

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Abstract
The classical concept of Stokes-Adams syndrome is that of syncope, with or without convulsions, associated with ventricular asystole, in patients with complete A-V heart block. Ecgs. taken during attacks of Stokes-Adams syndrome show that in addition to ventricular asystole, ventricular tachycardia, ventricular fibrillation, or any combination of these 3 mechanisms may occur. A case illustrating this is cited and ecgs. shown. The recognition of the varying mechanisms is essential to the intelligent management of the Stokes-Adams attack. There is no unanimity of opinion as to the treatment of choice. Epineph-rine tends to favor the development of ventricular arrhythmias. Quinidine, which is usually considered the drug of choice in the treatment of ventricular arrhythmias, has also been implicated in the production of ventricular fibrillation.

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