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June 11, 1959New England Journal of Medicine

Stokes-Adams Attacks Complicating Acute Myocardial Infarction

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Population

Patients with Stokes-Adams attacks complicating acute myocardial infarction

Design

Other

Authors

HGHenry H. GaleChildren's Hospital of WisconsinHEHenri L. EnfroyHenry Ford Hospital

Discussion

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Implication

Rhythm confirmation mandatory before epinephrine-like drugs in syncope; reinforces targeted therapy and challenges empiric vasopressor use in bradyarrhythmias.

Structured PICO

P
Population
Patients with Stokes-Adams attacks complicating acute myocardial infarction
I
Intervention
Epinephrine-like drugs

While epinephrine-like drugs are classic therapy for Stokes-Adams seizures, it is critical to ensure syncope is due to asystole or bradycardia to avoid precipitating fatal ventricular fibrillation.

Cite This Study

Gale et al. (1959) studied this question.

synapsesocial.com/papers/6a1d46987328fa9a742f40aahttps://doi.org/10.1056/nejm195906112602407
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1THE ELECTROCARDIOGRAM OF THE STOKES-ADAMS ATTACK1941 · 116 citations
  2. 2The Action of Norepinephrine, Epinephrine and Isopropyl Norepinephrine on the Rhythmic Function of the Heart1952 · 81 citations
  3. 3Effect of 1-(3,4, dihydroxyphenyl)-2-Isopropylaminoethanol, (Isopropylepinephrine) on the Rhythmic Property of the Human Heart.1949 · 21 citations
  4. 4Ventricular Arrhythmias after Intravenous Sodium Lactate in Heart Block1957 · 11 citations
  5. 5TRANSIENT VENTRICULAR FIBRILLATION1932 · 41 citations