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Adams-Stokes attack - Treatment of Adams-Stokes attack

What is Adams-Stokes attack?

Adams Stokes Attack is due to cardiac arrest usually in systole. Stokes-Adams attacks are a type of syncope of cardiac origin. Stokes-Adams attacks is caused by reduction in blood flow from the heart to the brain .Unconsciousness as a result of a to fast or to slow rhythm. Adams-Stokes attack is occur in adults having age above 40 years. Normal periods of unconsciousness are around 30 seconds.

Causes of Adams-Stokes attack

• Adams-Stokes attack is caused by transient attacks of lightheadedness.
• Adams-Stokes attack is caused by disorder of heart rhythm.
• Adams-Stokes attack is caused by episodic intermittent high grade AV block.
• Sudden slowing of the heart beat from an electrical problem
• It is caused by complete or incomplete heart block due to disturbances of the conductive path of the heart.

Symptoms of Adams-Stokes attack

• Patient may become pale their heart rhythm experiences a temporary pause.
• Patient feel hot and flushed on waking.
• Fixed pupils, incontinence, and flushing of the face.
• Bilateral Babinski’s sign with resumption of heart beats.
• The patient is pale and pulse less; respiration continues.
• Convulsive movements
• Facial flushing occurs for a minute

Treatment of Adams-Stokes attack

• Treatment with triiodothyronine the bradycardia disappeared and the external pacemaker could be removed.
• Catecholamine-induced cardiomyopathy may play an important role in the catastrophic terminal.
• Atrioventricular block occurred and persisted despite steroid treatment for two weeks.
• Surgery with use of anesthetics and antiseptics
• Treatment must be undertaken by a qualified cardiologist.