An unexpected presentation of sick sinus syndrome: Isolated ventricular asystole

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dc.contributor.authorGüneş, Harun
dc.contributor.authorSönmez, Feruza Turan
dc.contributor.authorCanga, Halit Berk
dc.contributor.authorSarıtaş, Ayhan
dc.date.accessioned2020-04-30T22:39:17Z
dc.date.available2020-04-30T22:39:17Z
dc.date.issued2017
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionTURAN SONMEZ, Feruza/0000-0001-8817-8521en_US
dc.descriptionWOS: 000407941000056en_US
dc.descriptionPubMed: 28460803en_US
dc.description.abstractSick sinus syndrome is a disorder of sinus node function characterized by various dysrhythmias such as sinus bradycardia or pause, paroxysmal regular or irregular atrial tachycardia, tachycardiabradycardia attacks or atrial fibrillation with slow ventricular response. Ventricular asystole with preserved atrial electrical activity is a rarely seen presenting rhythm in the ED and an extremely rare cause of syncope. A 67-year-old male having a syncope attack was admitted to the emergency department. His Glasgow coma scale score was 15 on admission. He became unconscious during his observation in the emergency department, and cardiopulmonary resuscitation was initiated because he was seen to be apneic; his arterial pulse was impalpable, and ventricular asystole with preserved atrial electrical activity was seen on the monitor. He regained consciousness and normal sinus rhythm was seen on the monitor after 2 min of cardiopulmonary resuscitation. Then, an alternating rhythm with short periods of bradycardia and tachycardia suggesting sick sinus syndrome was developed. A dualchamber pacemaker was placed, and he was discharged after 2 days of in patient follow-up. His symptoms have not recurred after placement of the pacemaker device. When sudden changes in vital parameters and/ or consciousness develop during observation of a patient with sick sinus syndrome, although it is not a common circumstance, accompanying high degree atrioventricular block and simultaneous ventricular asystole should be considered, and cardiopulmonary resuscitation should be initiated immediately because cardiopulmonary arrest is inevitable when ventricular asystole develops even if the atrial electrical activity is maintained. (C) 2017 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.ajem.2017.04.069en_US
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.issue8en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2017.04.069
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2670
dc.identifier.volume35en_US
dc.identifier.wosWOS:000407941000056en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofAmerican Journal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComplete atrioventricular blocken_US
dc.subjectSick sinus syndromeen_US
dc.subjectSyncopeen_US
dc.subjectVentricular asystoleen_US
dc.titleAn unexpected presentation of sick sinus syndrome: Isolated ventricular asystoleen_US
dc.typeArticleen_US

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