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Stokes-Adams Syncope and Ventricular Standstill.

Khalid Shakfeh¹, Takumi Yamada¹, Aditya Saini¹

¹Division of Cardiology University of Florida-Jacksonville Jacksonville Florida USA.

Journal of Arrhythmia

|July 11, 2026

Summary

This summary is machine-generated.

Stokes-Adams syncope can stem from various causes like heart block or vagal issues. Analyzing electrocardiograms (EKGs) can reveal these underlying mechanisms, even post-pacemaker surgery.

Keywords:

atrial tachycardia complete heart block syncope

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Area of Science:

Cardiology
Electrophysiology

Background:

Stokes-Adams syncope presents with diverse underlying causes.
Common etiologies include atrioventricular conduction delays, myocardial ischemia, and vagal reflex abnormalities.

Purpose of the Study:

To investigate the utility of electrocardiogram (EKG) analysis in identifying the mechanisms of Stokes-Adams syncope.
To assess the role of serial EKGs in diagnosing syncope etiology, particularly after permanent pacemaker implantation.

Main Methods:

Retrospective analysis of patient EKG data.
Correlation of EKG findings with clinical presentation and syncope recurrence.

Main Results:

EKG analysis, including serial tracings, can reveal transient or persistent conduction abnormalities.
Specific EKG patterns may suggest ischemic or vagal triggers for syncope.

Conclusions:

Electrocardiogram (EKG) interpretation is crucial for diagnosing the etiology of Stokes-Adams syncope.
Serial EKGs can provide valuable diagnostic information even in patients with implanted pacemakers.