抄録
A 60-year-old male presented with syncope while driving and crashed his vehicle into an oncoming vehicle. After resuming consciousness, he was transported to the emergency medical center by ambulance. Although he did suffer any trauma, the patient exhibited bradycardia and hypotension. An ECG examination showed a complete A-V block. He was diagnosed as having experienced an Adams-Stokes attack derived from a complete A-V block associated with acute myocardial infarction. Following the administration of atropine and isoproterenol, his blood pressure rose to 105/54mmHg. He received an emergency coronary angiography and PTCA. The stenosis of the occluded right coronary artery #2 was improved to 50%. He was discharged on the 11th hospital day.