What is Adams-Stokes syndrome?

Jul 02, 2025 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
In general, Adams-Stokes syndrome, also known as cardiac cerebral ischemic syndrome, is a syndrome characterized by sudden loss of consciousness, convulsions, and other symptoms caused by cerebral ischemia and hypoxia due to impaired cardiac output. If experiencing any discomfort, timely medical consultation is recommended. It is advised to engage in physical activity and receive psychological support under a physician's guidance, which can help improve endurance, reduce myocardial oxygen consumption, and promote blood circulation.

Generally, Adams-Stokes syndrome, also known as cardiac cerebral ischemic syndrome, is a syndrome characterized by sudden loss of consciousness, convulsions, and other symptoms caused by cerebral ischemia and hypoxia resulting from impaired cardiac ejection function. If experiencing any discomfort, timely medical attention is recommended. Detailed analysis is as follows:

The core mechanism involves various heart diseases leading to a sudden decrease or interruption of cardiac output, thereby causing a sharp reduction in cerebral blood flow. Common causes include severe arrhythmias, valvular heart disease, and myocardial disorders. The typical clinical manifestation is sudden syncope, which may be accompanied by convulsions, pallor or cyanosis, dilated pupils, absent pulse, and decreased blood pressure. The duration of an episode can vary, and severe cases may result in sudden death.

Diagnosis requires a combination of medical history, electrocardiogram monitoring during episodes, and cardiac ultrasound examinations. The key to treatment is promptly addressing the underlying cause, such as performing cardiopulmonary resuscitation for patients with ventricular fibrillation, implanting a pacemaker for those with severe atrioventricular block, and providing symptomatic and supportive care such as oxygen administration and maintaining circulatory stability.

It is recommended to engage in physical activity and receive psychological support under a physician's guidance, which can help improve endurance, reduce myocardial oxygen consumption, and promote blood circulation. Additionally, a balanced diet, appropriate exercise, smoking cessation, and moderate alcohol consumption are beneficial for cardiovascular health.

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