Asystole "observed" for 25 seconds? - page 2

The other day, I came across a tilt table test on a patient. It was a young person who had been experiencing syncopal episodes and so was sent for the study. I was amazed to come across the phrase "patient lost consciousness... Read More

  1. 0
    This sort of reminds me of the time I found my exhusband on the asystole...well, without a pulse and respirations anyway...called 911 and started CPR and he actually regained conciousness as they got there.
    After an extensive workup, the cardiologist thought he had some kind of funky vaso-vagal thing but not real sure. If he did it again, they were going to pace him. Don't know how long he was down, but he was pretty dusky and cyanotic around the lips...happened around 28 years ago...and haven't thought about it for such a long time.

    By the way...I wasn't a nurse yet back then and he is no longer my husband (but not because I didn't know CPR)

    ps. not adenosine....atropine?

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  2. 0
    Yeah, I am thinking they meant atropine, not adenocard.
  3. 0
    Quote from scoochy
    Was the patient being worked up for dysautonomia?
    She was being worked up for syncopal episodes. No treatment given that I could find documented, just the "observation."

    Eventual diagnosis from cardiologist, according to patient: vasovagal syncopy, expected to be outgrown (patient was teen at the time).
  4. 0
    Never seen adenosine cause a pause that long. A couple seconds at most. Its half-life is way too short to be causing that dramatic an effect.

    Last edit by Roy Fokker on Jul 8, '11
  5. 1
    Sinus arrest happens all the time. 25 seconds though would be scary... that's a LONG time. (It would definitely get MY heart beating faster). I think 16 seconds is my personal best and I was squealing like a little girl. Got lots of attention.

    I see it every now and then these days when someone vaso/vagals and sometimes with accidental overdoses of Dig and Beta-Blockers (usually renal pt's) Asystole for that long and the crash cart is going to be at bedside for the rest of the visit. Pace-Paddles at the ready...
    Otessa likes this.

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