KEEPING PACE: A CASE OF ICTAL ASYSTOLE

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چکیده

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Brain seizes, heart ceases: a case of ictal asystole.

Epileptic seizures commonly result in changes of cardiac rate. Although tachycardias are much more frequent, ictal bradycardia and asystole may be life threatening and contribute to the syndrome of sudden unexplained death in epileptic patients. DiVerentiation between primary cardiac and cerebrogenic bradyarrhythmia is possible with the use of simultaneous EEG and ECG recording. The correct ide...

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Ictal asystole and ictal syncope: insights into clinical management.

BACKGROUND Ictal asystole is a rare, serious, and often treatable cause of syncope. There are currently limited data to guide management. Characterization of ictal syncope predictors may aid in the selection of high-risk patients for treatments such as pacemakers. METHODS AND RESULTS We searched our epilepsy monitoring unit database from October 2003 to July 2013 for all patients with ictal a...

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Recurrence risk of ictal asystole in epilepsy

OBJECTIVE To determine the recurrence risk of ictal asystole (IA) and its determining factors in people with epilepsy. METHODS We performed a systematic review of published cases with IA in 3 databases and additionally searched our local database for patients with multiple seizures simultaneously recorded with ECG and EEG and at least one IA. IA recurrence risk was estimated by including all ...

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Keeping Pace with Extreme Data

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We report the case of a 69-year-old woman who presented with recurring episodes of mental confusion/dizziness followed by loss of consciousness, intense pallor, and sweating. Cardiologic investigations were unremarkable. The electroencephalogram recorded during one typical episode allowed the demonstration of a right frontotemporal seizure with progressive bradycardia leading to a 9-second asys...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2017

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(17)35690-5