Sinus Arrest: Causes & Reasons

Possible Causes for Sinus Arrest

If the pauses are not in exact multiples sinus arrest is diagnosed. [drsvenkatesan.com]

The diagnosis of SSS was based on electrocardiographic evidence of markedly prolonged sinus arrests associated with syncope attacks while in hospital. [ncbi.nlm.nih.gov]

ECG Examples Example 1 Sinus arrest: Prolonged absence of sinus node activity (absent P waves) > 3 seconds. [lifeinthefastlane.com]

Sinoatrial Block

With SA Arrest the R-R interval measurement is greater than plus or minus 2 small boxes. Here is how you report a rhythm with a sinus arrest: NSR with a Sinus Arrest. [unm.edu]

ECG Lecture: Sinus arrest, sinoatrial exit block, AV block and escape rhythms 1. Sinus arrest, Sinoatrial exit block, AV blocks, Escape Rhythms Dr. Michael-Joseph F. [slideshare.net]

A third degree sinoatrial block looks very similar to a sinus arrest. However, a sinus arrest is caused by a failure to form impulses. [en.wikipedia.org]

Acute Atrial Infarction

Rhythm, Sinus Arrhythmia, Bradycardia, Tachycardia, Sinus Arrest, Sinoatrial Exit Block, Atrial Premature Complexes, Atrial Tachycardia, Multifocal Atrial Tachycardia, Supraventricular [play.google.com]

[…] tachycardia with or without atrial premature contractions Sinus arrest Thromboembolic phenomena 84% Pulmonary emboli Systemic emboli Atrial rupture 4.5% Hemodynamic [ncbi.nlm.nih.gov]

[…] easily searchable rapid reference for more than 90 of the most common ECG diagnoses, including: Normal ECG, Incorrect Electrode Placement, Artifact, Atrial Enlargement, Sinus [play.google.com]

Vasovagal Syncope

Vasovagal syncope with concomitant ventricular asystole and sinus arrest is rare. [ncbi.nlm.nih.gov]

Cardioinhibitory vasovagal syncope with sinus arrest and asystole of 28 seconds' duration occurred during rectosigmoidoscopy in a patient with frequent previous symptoms and [ncbi.nlm.nih.gov]

While standing, approximately 300-700 ml of blood pools in the lower extremities which decreases intravascular volume Strong vagal stimulations may induce 4-10 seconds of sinus [slideshare.net]

AV Block Mobitz I

A third degree sinoatrial block looks very similar to a sinus arrest. However, a sinus arrest is caused by a failure to form impulses. [en.wikipedia.org]

Brief heart block summary Sinus arrest/block and sinoatrial exit block - Sinus node dysfunction, SA node misses one or more cycles. [tamingthesru.com]

sinus arrest. [ahcmedia.com]

Digitalis Toxicity

The rhythms prior to pacemaker insertion in group 1 included sinus arrest with junctional bradyarrhythmias (n = 9), atrial fibrillation with a slow ventricular rate (n = 11 [emcrit.org]

8(9%) 7 (26.9%) Bradycardia (ᐸ50 beats/min) 5 (4.9%) 3(3.4) 2(7.6%) Junctional Tachycardia 0(0.0%) 1(1.3%) 0(0%) Sustained ventricular tachycardia 1(0.97%) 0(0%) 0(0%) Sinus [omicsonline.org]

Life threatening arrhythmias (ventricular tachycardia, ventricular fibrillation, high degree A-V block, bradyarrhythma, sinus arrest) or hyperkalemia requires administration [rxlist.com]

Hyperkalemia

A surface 12-lead electrocardiogram presented sinus arrest with peaked T-wave. [escardio.org]

arrest. [nephrologynews.com]

Additionally, severe hyperkalemia can manifest with sinus bradycardia or arrest, AV blocks and loss of pacemaker capture. [saem.org]

Hypermagnesemia

She was lethargic, her blood pressure was less than 50 mmHg, and electrocardiogram (ECG) revealed sinus arrest with junctional escape rhythm. [ncbi.nlm.nih.gov]

[…] bradycardia, atrioventricular block, coma and cardiac arrest (exceeding 15.0 mg/dl) may ensue. [spandidos-publications.com]

[…] bradycardia, and atrioventricular block, coma and cardiac arrest (exceeding 15.0 mg/dL) may occur. [ncbi.nlm.nih.gov]

Vagal Tone Increased

洞 sinus arrest洞停止 sinus bradycardia洞性徐脈 sinus node洞結節 sinus of Valsalvaバ［ヴァ］ルサルバ［ヴァ］洞 sinus rhythm洞調律 sinus tachycardia洞性頻脈 situs inversus逆位 situs solitus正位 sleep apnea syndrome [tokyo-med.ac.jp]

[…] stressずり応力 short run連発 shortness of breath息切れ sick sinus syndrome (SSS)洞不全症候群 silent myocardial ischemia (SMI)無症候性心筋虚血 sinoatrial (SA) block洞房ブロック sinoatrial (SA) node洞房結節 sinus [tokyo-med.ac.jp]

Lithium Toxicity

Initially, fluid therapy was started, but she lost consciousness and had a cardiac arrest for 2 minutes due to prolonged sinus arrest. [ncbi.nlm.nih.gov]

[…] node dysfunction and arrest, ST segment depression and inverted T-waves) and hypotension [ 3,4 ]. [academic.oup.com]

[…] lethargy to delirium and coma), muscle hyperexcitability (from fine tremor to clonus and seizures), gastrointestinal symptoms (nausea, vomiting and diarrhoea), EKG changes (sinus [academic.oup.com]

Subarachnoid Hemorrhage

This is seen in hypoxic-ischemic brain injury and recent resuscitation from cardiopulmonary arrest. [radiopaedia.org]

Other causes include: severe meningitis : breakdown of the blood-brain barrier allowing mildly hyperdense proteinaceous material to leak into the subarachnoid space 3 venous sinus [radiopaedia.org]

Amyloidosis

A sample of blood was drawn 30 min after the arrest to check the serum bupivacaine concentration. [anesthesiology.pubs.asahq.org]

Ventricular fibrillation was the dominant rhythm, although intermittent sinus tachycardia was present, with transient mean arterial pressures of 60–80 mmHg. [anesthesiology.pubs.asahq.org]

Acidosis

Metabolic acidosis is primary reduction in bicarbonate (HCO 3 − ), typically with compensatory reduction in carbon dioxide partial pressure (P co 2 ); pH may be markedly low or slightly subnormal. Metabolic acidoses are categorized as high or normal anion gap based on the presence or absence of unmeasured anions in[…] [merckmanuals.com]

Coronary Atherosclerosis

What is the function of coronary arteries? The coronary arteries supply blood flow to the heart, and when functioning normally, they ensure adequate oxygenation of the myocardium at all levels of cardiac activity. Constriction and dilation of the coronary arteries, governed primarily by local regulatory mechanisms[…] [cvphysiology.com]

Bradyarrhythmia

Typically, sa node dysfunction is manifest as sinoatrial exit block or sinus arrest, but may present as an absolute or relative bradycardia in the presence of a stressor. [icd9data.com]

Notes: The ECG showed sinus bradycardia, AVB ( A ) and sinus arrest ( B ). [dovepress.com]

In third-degree, or complete, SA block, the surface ECG is identical to that of sinus arrest, with absent P waves. [emedicine.com]

Cerebral Hemorrhage

Henoch-Schonlein purpura (HSP) with intestinal perforation and cerebral hemorrhage is a very rare clinical condition. There has been no report of HSP complicated with both intestinal perforation and cerebral hemorrhage until October 2012. Here we describe a case of HSP with intestinal perforation and cerebral[…] [ncbi.nlm.nih.gov]

Bradycardia

In third-degree, or complete, SA block, the surface ECG is identical to that of sinus arrest, with absent P waves. [emedicine.com]

Abstract Cannabinoids, the bioactive components of marijuana, have adverse cardiovascular consequences, including symptomatic sinus bradycardia, sinus arrest and ventricular [ncbi.nlm.nih.gov]

Here, we report a case of TTS initiated by a seizure as a physical trigger that led to sinus arrest. [ncbi.nlm.nih.gov]

Sinus Bradycardia

She remained in sinus rhythm without further sinus arrest episodes during hospitalisation. [heart.bmj.com]

The minimum heart rate increased from 33 to 42 bpm and sinus arrests did not occur. [ncbi.nlm.nih.gov]

[…] bradycardia; sinus exit block; sinus arrest; tachy-brady syndrome Presentation: Often aymptomatic but can present as above in sinus bradycardia. [dundeemedstudentnotes.wordpress.com]

Carotid Sinus Syncope

The most frequent cause of the carotid sinus syncope (Adams-Stokes) attack is the sinus arrest and a sinus block. 2 degrees-3 degrees av block can be observed less frequent [ncbi.nlm.nih.gov]

55 Sinus arrest/9 s ventricular standstill/convulsions 8 F/96 45 None None 160/74 50 160 130 a 407 162/73 36 None 9 F/90 52 Hypertension None 143/72 64 148 80 439 141/69 43 [academic.oup.com]

Holter monitoring revealed several episodes of sinus arrest. [head-face-med.biomedcentral.com]

Atrioventricular Junctional Rhythm

Junctional beats and junctional rhythm Junctional rhythm may arise in the following situations: If the normal sinus impulse disappears (e.g sinus arrest) cells around the [ecgwaves.com]

They often occur during sinus arrest or after premature atrial complexes. The QRS complex will be measured at 0.10 sec or less. [ekg.academy]

Typically, sa node dysfunction is manifest as sinoatrial exit block or sinus arrest, but may present as an absolute or relative bradycardia in the presence of a stressor. [icd10data.com]

Sinus Arrest

Sinus arrest primarily affects older patients. [symptoma.com]

ECG Basics: Sinus Pause / Sinus Arrest This example of sinus arrest, also called sinus pause, shows a spontaneous return to sinus rhythm. [ecgguru.com]

Also called sinus standstill. sinus arrest A form of sinus-node dysfunction (sick sinus syndrome) characterised by a normal P-wave axis. [medical-dictionary.thefreedictionary.com]

Hypothermia due to Anesthesia

Abstract The aim of this study was to investigate the significance of information from the plantar cutaneous mechanoreceptors in postural control and whether postural control could compensate for reduced cutaneous information by adaptation. Sixteen healthy subjects were tested with eyes open or eyes closed[…] [ncbi.nlm.nih.gov]

Accidental Hypothermia

Vol 73, No 9 (2015) Experts' opinions and Positions papers Published online: 2015-09-16 Submitted: 2015-06-15 Accepted: 2015-06-17 Management of hypothermia — Severe Accidental Hypothermia Centre in Krakow Tomasz Darocha, Sylweriusz Kosiński, Anna Jarosz, Dorota Sobczyk, Robert Gałązkowski, Tomasz Sanak, Hubert[…] [ojs.kardiologiapolska.pl]

Systemic Amyloidosis

Clin Nucl Med. 2015 Feb;40(2):189-90. doi: 10.1097/RLU.0000000000000593. Author information 1 From the Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India. Abstract Amyloidosis is a rare disorder characterized by variable extracellular accumulation of a complex substance consisting of[…] [ncbi.nlm.nih.gov]

Myxedema

Ureteral myxedema is exceptionally rare. We describe computed tomography and magnetic resonance imaging findings in a case of ureteral myxedema. The demonstration of water-like hyperintensity around the ureteral lumen on heavily T2-weighted sequences should be considered a strongly suggestive sign for ureteral[…] [ncbi.nlm.nih.gov]

Brain Edema

Cerebral edema (CE) is accumulation of water in the intracellular or extracellular spaces of the brain. Vasogenic edema occurs when there is breakdown of the tight endothelial junctions of the blood-brain barrier (BBB), leading to extravasation of intravascular protein and fluid into the interstitial space of the[…] [ncbi.nlm.nih.gov]

Brain Stem Herniation

Browse 500 sets of brain stem herniation flashcards brain herniation uncal hernia central tentorial herniation... aka bilate[…] subfalcine herniation - ipsilateral down and out gaze... - ipsilateral fixed and dil[…] - bilateral pinpoint pupils... - bilateral Babinski's... - *bila[…] - compress ACA... --> contralateral lower extremity[…] [quizlet.com]

Atrial Standstill

arrest and junctional escape rhythm. [ncbi.nlm.nih.gov]

In the patient with amyloidosis (ANP: 170 pg/ml, BNP: 1220 pg/ml), a dual chamber pacemaker was successfully implanted for the treatment of sinus arrest. [ncbi.nlm.nih.gov]

Sinus arrest as a terminal event has frequently been reported in acute myocardial infarction during observed beating of the ventricles. [jamanetwork.com]

Diffuse Intraventricular Block

arrest Sinus arrest with junctional escape Sinus arrest with ventricular escape ICD-10-CM Diagnosis Codes General Equivalence Mappings (GEMS): ICD-10-CM Code: I45.5 - Other [emedcodes.com]

Sinus Pauses or Arrest Sinus arrest or pauses imply failure of an expected atrial activation. 23 This may be due to a problem of impulse generation in the sinus node or a [revespcardiol.org]

Disordered sinus node function may be manifested by sinus bradycardia, SA arrest, or exit block, either type 1 (Wenckebach) or type 11 (Mobitz 11) (see definition of sinus [rjmatthewsmd.com]

Conduction Disorder of the Heart

arrest, or sinus exit block, as well as by 2nd-degree AV block. [msdmanuals.com]

[…] bradycardia: Sinus rhythm with a resting heart rate of < 60 bpm in adults, or below the normal range for age in children Sinus pause: pause Sinus arrest: pause > 3 seconds [smartypance.com]

Collectively, those alterations translate at the clinical side in the so-called sick sinus syndrome, whose manifestations include bradycardia, sinus arrest, and sinus exit [fightaging.org]