Ehsani-Nia Hamid, Bryczkowskiv Christopher
Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, NJ.
J Educ Teach Emerg Med. 2020 Oct 15;5(4):V25-V30. doi: 10.21980/J8SS79. eCollection 2020 Oct.
Paroxysmal ventricular standstill, also known as ventricular asystole, is a very rare, often fatal arrhythmia that should be included in the differential of patients presenting with syncope. 1 In this case, a 68-year-old female presented to the emergency department (ED) after sustaining a syncopal episode and subsequent cardiac arrest. On review of cardiac telemetry, she was found to be having episodes of ventricular standstill (VS). Due to her altered mental status, transcutaneous and then transvenous cardiac pacing were initiated. The patient was taken to the catheterization lab where she was found to have no significant coronary blockage, and a permanent pacemaker was placed. The likely culprit was calcium channel blocker toxicity. Paroxysmal ventricular standstill is a non-perfusable arrhythmia that should be rapidly identified. While VS is often a fatal arrhythmia presenting with sudden death, reversible causes should be pursued and treated.2.
Ventricular standstill, ventricular asystole, heart block, cardiac arrest, emergency pacemaker, transcutaneous pacemaker, transvenous pacemaker, cardiology, Visual EM.
阵发性心室停搏，也称为心室停搏，是一种非常罕见且常致命的心律失常，在晕厥患者的鉴别诊断中应予以考虑。1 在本病例中，一名68岁女性在发生晕厥发作及随后的心脏骤停后被送往急诊科（ED）。回顾心脏遥测数据时，发现她有阵发性心室停搏（VS）发作。由于其意识状态改变，开始进行经皮然后经静脉心脏起搏。患者被送往导管室，在那里发现她没有明显的冠状动脉阻塞，并植入了永久性起搏器。可能的罪魁祸首是钙通道阻滞剂中毒。阵发性心室停搏是一种不可灌注的心律失常，应迅速识别。虽然心室停搏通常是一种以猝死为表现的致命性心律失常，但应寻找并治疗可逆性病因。2.
心室停搏、心室停搏、心脏传导阻滞、心脏骤停、紧急起搏器、经皮起搏器、经静脉起搏器、心脏病学、视觉EM。
