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Adams Stokes Attack

Adams Stokes Attack is due to cardiac arrest usually in systole but occasionally in ventricular fibrillation on a basis of atrioventricular block. The loss of consciousness can occur in any posture and is abrupt. The patient is pale and pulseless; respiration continues.Cardiac faints of the Stokes-Adam variety may recur several times a day, at any time of the day or night regardless of the position of the body. The eponymously named “Stokes-Adams attack” is characterised by a sudden lost of consciousness unrelated to posture and is usually due to episodic intermittent high grade AV block, profound bradycardia or ventricular standstill. Adams Stokes Attack is due to cardiac arrest usually in systole but occasionally in ventricular fibrillation on a basis of atrioventricular block.

Adams Stokes Attack Cause

Sudden slowing of the heart beat from an electrical problem within the heart resulting in inadequate blood supply to the brain. Often occurs after a heart attack, may have no apparent cause, or may be due to a side-effect of medication. Some cause of adams stokes attack:

  • Sudden slowing of the heart beat from an electrical problem within the heart resulting in inadequate blood supply to the brain.
  • Caused by complete or incomplete heart block due to disturbances of the conductive path of the heart.

Adams Stokes Attack Symptoms

Some symptoms of adams stokes attack:

  • Sudden faint
  • convulsive movements
  • slow heart rate or multiple missed heart beats
  • Facial flushing occurs for a minute
  • Other symptoms may be fixed pupils, incontinence, bilateral Babinski's sign with resumption of heart beats, and flushing of the face.
  • The patient goes pale just before the attack, the pulse stops, and they collapse. Normal periods of unconsciousness are around 30 seconds; if seizures are present, they will consist of twitching after 15-20 seconds.

Adams Stokes Attack Treatment

Treatment must be undertaken by a qualified cardiologist. Medication and/or a cardiac pacemaker may be required to prevent the sudden heart rate changes that prevent adequate flow of blood to the brain. Appropriate medications to regulate heart rate or surgical implantation of an electrical pacemaker. Most Treatment of adams stokes attack

  • Treatment must be undertaken by a qualified cardiologist. Medication and/or a cardiac pacemaker may be required to prevent the sudden heart rate changes that prevent adequate flow of blood to the brain
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