A Heart Stopping Case of the Bezold-Jarisch Reflex

Figure 1

Continuous electrocardiographic recording of lead 1 at a speed of 25 mm/s showing progressive bradycardia leading to two episodes (1 and 2) of asystole both lasting 5.9 seconds, followed by a progressive return to sinus rhythm. On the second line, the first wave shows a premature atrial contraction while the third wave shows a premature junctional complex. On the third line, cardiac massage is noted. On the fourth line, the fourth wave is showing fusion of the P and QRS waves.