88yom possible adams stokes
Hey, maybe someone could tell me what happened.
We had an 88 yo male with known atrial fibrillation. He had an convulsive syncope watched by a family member, chest pain and a headache. No pulse deficite, cold sweat, GCS 14 (eyes 3 points). The 12 leads are from the beginning and his heartbeat was at 41/min for a short time, after 10min he suddenly had intense nausea the heart beat slowed down until asystolie while he had most likely a hypoxic seizure. After short time he had a PEA and went back to the same rhythm at the beginning. He was lying down the whole time and I couldn‘t identify a trigger.
After that he had two more periods of bradycardia (first with a heart rate of 35, second down to 21) and after 0,5mg of atropine the heart rate normalized to minimum 70/min.
The other pictures show only lead II for the time of the asystolie