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With long intervals between individual contractions of the ventricles, especially at the moment of transition of an incomplete atrioventricular blockade to a complete one, an acute disorder of cerebral circulation up to ischemia may occur.
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The clinical picture is different - from a slight darkening of consciousness to epileptiform convulsions, which is determined by the duration of the stop of the ventricles (from 3 to 10-30 seconds); pulse up to 10-20 beats per minute, it is almost not palpable, blood pressure is not heard. This is the Morgagni-Edems-Stokes syndrome.
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Complete blockade is diagnosed clinically: when examining a patient in a supine position, it is possible to count 70-80 undulations of Clonidine vein with a pulse of 30-40.
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Seizures may recur throughout the dayonly once and be of varying intensity; with a duration of up to 5 minutes can be fatal. At the moment of transition of an incomplete blockade to a complete one, ventricular fibrillation may occur, which is the cause of sudden death.