Asystole - Never Loose Hope !!

Asystole after alfentanil- succinylcholine

To the Editor: Alfentanil is a new narcotic capable of blunting intraoperalive haemodynamic responses while allowing for return of spontaneous ventilation and consciousness after short surgical procedures. We have recently noted reports of severe bradycardia with the use of alfentanil combined with succinylcholine, t,2 We also present such a case. A 76-year-old 45 kg woman was scheduled for rem...

Hope against Hope

In the penultimate chapter of the Bible, in the opening statement of the very last speech God makes in the whole of the Christian Scriptures, God says: "Behold I am making all things new" (Rev 21:5). The prophet sees the old heavens and the old earth the universe as it now is passing away, and new heavens and a new earth, God's new creation of all things, coming into being. It is not that God r...

Extremely Prolonged Ventricular Asystole

We are reporting an extremely prolonged sinus arrest documented by Holter monitoring.

Loose Couplings

Sinus bradycardia with cardiac asystole.

A case of sinus bradycardia with cardiac asystole was described in this journal (Pearson, 1945). The subsequent history and the post-mortem findings are now recorded. The patient was a woman aged 52 years who had been under observation since February 1943. Her pulse rate varied between 16 and 30 and her main symptoms were attacks of unconsciousness, resembling Stokes-Adams attacks; these were s...