Review of Published Cases of Syncope and Sudden Death in Patients With Severe Aortic Stenosis Documented by Electrocardiography

The ECG findings during sudden collapse (syncope or sudden death) in severe aortic stenosis (AS) are not well defined. We conducted a comprehensive review of the literature for ECG data during sudden collapse in patients with AS and provided a case report of our own. There were 37 published cases of...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of cardiology 2021-06, Vol.148, p.124-129
Main Authors: Prejean, Shane P., Camacho, Roberto, Wang, Bo, Watts, Thomas E., Daya, Hussein Abu, Ahmed, Mustafa I., Hage, Fadi G., Bajaj, Navkaranbir S., Doppalapudi, Harish, Iskandrian, Ami E.
Format: Article
Language:English
Subjects:
Angina pectoris
Aorta
Aortic stenosis
Cardiac arrhythmia
Cardiovascular disease
Consciousness
Coronary vessels
Death
EKG
Electrocardiography
Fainting
Heart
Heart rate
Hypotension
Ischemia
Literature reviews
Medical imaging
Mortality
Patients
Sinuses
Stenosis
Syncope
Tachyarrhythmia
Ventricle
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The ECG findings during sudden collapse (syncope or sudden death) in severe aortic stenosis (AS) are not well defined. We conducted a comprehensive review of the literature for ECG data during sudden collapse in patients with AS and provided a case report of our own. There were 37 published cases of syncope or sudden death in patients with severe AS which were documented by ECG. Brady- or ventricular arrhythmias were documented in 34 cases (92%). Bradyarrhythmia (n = 24; 71%) was more common at the time of collapse than ventricular tachyarrhythmia (n = 10; 29%). There was slowing of the sinus rate before bradyarrhythmia in the vast majority of patients with bradyarrhythmia but not in those presenting with ventricular tachyarrhythmia (75% vs 0%; p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2021.02.023