{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T01:56:46Z","timestamp":1792202206993,"version":"4.4.0"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Medicine Access"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>Stokes-Adams syndrome is defined as a transient loss of consciousness with spontaneous recovery after a decrease in cardiac output that leads to a state of cerebral hypoxia and may cause seizures. It is a rare and poorly documented condition. High-degree atrioventricular block, paroxysmal ventricular arrest, and pulseless ventricular tachycardia have been described as causes, and depending on the case, temporary or permanent pacemaker implantation or cardiac defibrillation may be necessary. We present the case of a 78-year-old male patient with Stokes-Adams syndrome secondary to 2:1 atrioventricular block requiring definitive pacemaker implantation without recurrence of syncopal or convulsive episodes. It is important to consider Stokes-Adams syndrome as a possible cause of syncope or seizures and that the recognition of this disease through an adequate clinical history and interpretation of paraclinical tests can save lives due to the risk of sudden death. There is not much information about this syndrome, since there are few cases reported in the literature.<\/jats:p>","DOI":"10.1177\/27550834251322007","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T07:03:56Z","timestamp":1740553436000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Stokes-Adams syndrome, a rarely reported disease"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8797-3590","authenticated-orcid":false,"given":"Camilo Andr\u00e9s","family":"Rinc\u00f3n Romero","sequence":"first","affiliation":[{"name":"Research Department, Hospital Regional de la Orinoqu\u00eda, Yopal, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8307-175X","authenticated-orcid":false,"given":"Sebasti\u00e1n Forero","family":"Am\u00e9zquita","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad de La Sabana, Ch\u00eda, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3580-8221","authenticated-orcid":false,"given":"Julio C\u00e9sar","family":"Velasco Castro","sequence":"additional","affiliation":[{"name":"Research Department, Hospital Regional de la Orinoqu\u00eda, Yopal, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9557-0900","authenticated-orcid":false,"given":"Lorena Garc\u00eda","family":"Agudelo","sequence":"additional","affiliation":[{"name":"Research Department, Hospital Regional de la Orinoqu\u00eda, Yopal, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"bibr1-27550834251322007","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e18335"},{"key":"bibr2-27550834251322007","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.924381"},{"key":"bibr3-27550834251322007","doi-asserted-by":"publisher","DOI":"10.1159\/000174601"},{"issue":"10","key":"bibr4-27550834251322007","volume":"13","author":"Moles WJ","year":"2021","journal-title":"Cureus"},{"key":"bibr5-27550834251322007","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07376-2"},{"key":"bibr6-27550834251322007","unstructured":"Portillo-Pineda R, Gim\u00e9nez-Aguilar FA, G\u00f3mez K, et al. Status epil\u00e9ptico convulsivo de novo como primera manifestaci\u00f3n de s\u00edndrome del Stokes-Adams. Rev Hisp Cienc Salud 2016; 2(3): 256\u2013259. https:\/\/uhsalud.com\/index.php\/revhispano\/article\/view\/204"},{"key":"bibr7-27550834251322007","doi-asserted-by":"publisher","DOI":"10.1016\/j.joa.2017.03.008"},{"key":"bibr8-27550834251322007","doi-asserted-by":"publisher","DOI":"10.18597\/rcog.2538"},{"issue":"3","key":"bibr9-27550834251322007","first-page":"123","volume":"4","author":"Kumar R","year":"2020","journal-title":"IHJ Cardiovasc Case Rep"},{"key":"bibr10-27550834251322007","doi-asserted-by":"publisher","DOI":"10.1177\/0218492319851380"},{"issue":"1","key":"bibr11-27550834251322007","first-page":"16","volume":"90","author":"P\u00e9rez-Riera AR","year":"2020","journal-title":"Arch Cardiol Mex"},{"issue":"3","key":"bibr12-27550834251322007","first-page":"1","volume":"62","author":"Hernandez Medina N","year":"2021","journal-title":"Univ Medica"},{"key":"bibr13-27550834251322007","doi-asserted-by":"publisher","DOI":"10.1590\/0004-282x20200019"},{"key":"bibr14-27550834251322007","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2017.08.357"},{"key":"bibr15-27550834251322007","first-page":"2459691","volume":"2018","author":"Ioakeimidis NS","year":"2018","journal-title":"Case Rep Cardiol"},{"key":"bibr16-27550834251322007","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(69)90096-5"}],"container-title":["The Journal of Medicine Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/27550834251322007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/27550834251322007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/27550834251322007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:45:53Z","timestamp":1777599953000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/27550834251322007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":16,"alternative-id":["10.1177\/27550834251322007"],"URL":"https:\/\/doi.org\/10.1177\/27550834251322007","relation":{},"ISSN":["2755-0834","2755-0834"],"issn-type":[{"value":"2755-0834","type":"print"},{"value":"2755-0834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]},"article-number":"27550834251322007"}}