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Complete Ventricular Asystole in a Patient with Altered Mental Status

Patients who present with recurrent syncope are at risk for having underlying conduction disease, which may worsen if not promptly recognized and treated. We describe a patient who initially presented to a Mexican clinic with recurrent syncope and an electrocardiogram that showed complete heart bloc...

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Detalles Bibliográficos
Autores principales: Zanoni, Stephen, Platt, Gerald, Carstairs, Shaun, Hernandez, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3966435/
https://www.ncbi.nlm.nih.gov/pubmed/24672602
http://dx.doi.org/10.5811/westjem.2013.10.18884
Descripción
Sumario:Patients who present with recurrent syncope are at risk for having underlying conduction disease, which may worsen if not promptly recognized and treated. We describe a patient who initially presented to a Mexican clinic with recurrent syncope and an electrocardiogram that showed complete heart block. After being transferred to our emergency department, he deteriorated into complete ventricular asystole with preserved atrial function and required placement of a transvenous cardiac pacemaker.