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... Read More

  1. by   Roy Fokker
    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
  2. by   EmergencyNrse
    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...