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https://doi.org/10.20471/acc.2020.59.03.18

Complete Atrioventricular Block and Asystole during Epileptic Seizure: a Case Report

Nikolina Ivica Miše ; Department of Neurology, Split University Hospital Centre, Split, Croatia
Pavao Jurinović ; Department of Neurology, Split University Hospital Centre, Split, Croatia
Zrinka Jurišić ; Department of Cardiology, Split University Hospital Centre, Split, Croatia
Ana Repić Buličić ; Department of Neurology, Split University Hospital Centre, Split, Croatia
Petar Filipović Grčić ; Department of Neurology, Split University Hospital Centre, Split, Croatia
Marina Titlić ; Department of Neurology, Split University Hospital Centre, Split, Croatia

Abstract

Cardiac arrhythmias during or after epileptic seizures are one of the possible pathomechanisms of sudden unexpected death in epilepsy. These arrhythmogenic epilepsies are most commonly associated with sinus tachycardia, but atrioventricular block and asystole can also be seen. Although a rare occurrence, these arrhythmias can lead to significant morbidity and mortality, but also can be potentially preventable with pacemaker implantation. Here we describe a patient with recurrent epileptic seizures, diagnosed with ictal third-degree atrioventricular block and asystole during seizure, which required a permanent cardiac pacemaker.

Keywords

Epilepsy; Complete heart block; Asystole; Cardiac pacemaker; Case report

Hrčak ID:

247508

URI

https://hrcak.srce.hr/247508

Publication date:

1.9.2020.

Article data in other languages: croatian

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