Patients with Adams-Stokes seizures and tachy-bradycardia syndrome may require pacemaker implantation alone or combined with beta-blockers, highlighting the need for continuous ECG monitoring.
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Supports individualized pacemaker ± beta-blocker use in tachy-bradycardia; leaves open optimal strategy pending larger studies.
The case histories of six patients with Adams‐Stokes seizures and attacks of tachy‐ and bradycardia are reported. Two patients were managed by pacemaker implantation alone, while three patients had to be treated with the combination of pacemaker and a beta‐receptor‐blocking drug. The necessity of continuous ECG supervision for diagnosis of the arrhythmias, for selection of proper therapy, and control during therapeutical trials is stressed.
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Sandøe et al. (1969) studied this question.
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