Abstract:
:The authors report on 5 patients, 4 of them observed over a period of only two months in one community hospital, who developed profound sinus node suppression in the early phase following acute strokes. This complication resulted in the death of 2; in the remaining 3, it was controlled by electrical cardiac pacing or intravenous atropine. In 3 patients, the strokes were due to subarachnoid hemorrhage, and in 2, they were secondary to vascular occlusion. In at least 4 patients, the prognosis seemed favorable from a neurologic standpoint. Vagally mediated sinus node arrest may, therefore, represent a potentially fatal complication of strokes and may be more frequent than currently appreciated. Continuous monitoring in the early phase of acute strokes and pacemaker therapy may be lifesaving in some patients. This and the general phenomenon of functional failure of the sinus node due to a variety of causes are discussed.
journal_name
Angiologyjournal_title
Angiologyauthors
Bashour TT,Cohen MS,Ryan C,Antonini C Srdoi
10.1177/000331978803901208subject
Has Abstractpub_date
1988-12-01 00:00:00pages
1048-55issue
12eissn
0003-3197issn
1940-1574journal_volume
39pub_type
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