Key result
Three cases of paroxysmal ventricular standstill were observed, with two cases also exhibiting paroxysmal heart block and ventricular standstill provoked by carotid sinus pressure.
Case Report (n=3)
This early report identifies paroxysmal ventricular standstill as a rare rhythm during Stokes-Adams attacks, distinct from paroxysmal heart block, and notes it can be provoked by carotid sinus pressure.
Alerts clinicians to rare ventricular standstill in syncope; hypothesis-generating for distinct mechanisms and management from heart block.
Among the various rhythms reported in the course of a Stokes-Adams attack, one of the rarest is standstill of the ventricle as an episode during normal rhythm. Such a condition may be called paroxysmal ventricular standstill, and is to be distinguished from the condition of alternating complete block and normal rhythm to which the term paroxysmal heart block may be applied. Three cases of paroxysmal ventricular standstill have been observed, in two of which there was paroxysmal heart block also, and ventricular standstill was also provoked by carotid sinus pressure.
No takes yet. Share an insight, caveat, or question.
Harold Cookson (1952) conducted a case report in Paroxysmal ventricular standstill (n=3). Carotid sinus pressure was evaluated on Provocation of ventricular standstill. Three cases of paroxysmal ventricular standstill were observed, with two cases also exhibiting paroxysmal heart block and ventricular standstill provoked by carotid sinus pressure.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: