Review article

https://doi.org/10.26800/LV-141-1-2-3

Ictal bradycardia with asystole in patients with epilepsy – a case report

Lada Bradić ; Klinika za bolesti srca i krvnih žila, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Tea Šimonček ; Klinika za bolesti srca i krvnih žila, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Blanka Glavaš Konja ; Klinika za bolesti srca i krvnih žila, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Marina Šegović ; Klinika za bolesti srca i krvnih žila, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Martina Lovrić Benčić ; Klinika za bolesti srca i krvnih žila, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb

Abstract

Epileptic seizures, particularly of frontotemporal origin, may cause central autonomic regulation disorder. Resulting cardiorespiratory and neurologic dysfunction can result in syncope and sudden unexpected
death in epilepsy. We present two patients with temporal epilepsy and documented bradycardia/asystole during epileptic seizures with asystolic pauses lasting up to 25 seconds. Considering clinical implications, increased awareness and timely detection of concomitant arrhythmias is essential, since cardiac pacemaker implantation in case of asystole can prevent cardiogenic component of syncope, reduce risk of sudden death, falls and injuries in patients refractory to antiepileptics.

Keywords

EPILEPSY, TEMPORAL LOBE – complications, physiopathology; AUTONOMIC NERVOUS SYSTEM – physiopathology; BRADYCARDIA – etiology; SYNCOPE – etiology; HEART ARREST – etiology; DEATH, SUDDEN – etiology, prevention and control; PACEMAKER, ARTIFICIAL

Hrčak ID:

218763

URI

https://hrcak.srce.hr/218763

Publication date:

15.4.2019.

Article data in other languages: croatian

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