Cardiac asystole during an hypoxic drive study in a normal subject

M. L. Aitken, Robert Blair Schoene, D. J. Pierson

Research output: Contribution to journalArticle

Abstract

A healthy 31-year-old man who had previously sojourned to an altitude of 5,000 meters with no detrimental effect developed sudden cardiac asystole during a progressive hypoxic ventilatory response (HVR) test. At the moment of asystole, his alveolar PO2 (PAO2) was 41 mm Hg and his arterial oxygen saturation (SaO2) was 81 percent. Cardiopulmonary resuscitation was initiated, and after 20 seconds of asystole and apnea, he recovered normal sinus rhythm and spontaneous respiration. A subsequent ECG and cardiac enzyme levels were normal. During testing, he demonstrated depressed ventilation in response to hypoxia and a slowing of the heart-rate. Careful observation of heart rate and breath-by-breath ventilation during HVR tests may predict this potentially fatal complication.

Original languageEnglish (US)
Pages (from-to)818-819
Number of pages2
JournalChest
Volume85
Issue number6
DOIs
StatePublished - Jan 1 1984
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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