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Case Reports
. 2020 Sep;59(3):529-531.
doi: 10.20471/acc.2020.59.03.18.

COMPLETE ATRIOVENTRICULAR BLOCK AND ASYSTOLE DURING EPILEPTIC SEIZURE: A CASE REPORT

Nikolina Ivica Miše  1 , Pavao Jurinović  1 , Zrinka Jurišić  1 , Ana Repić Buličić  1 , Petar Filipović Grčić  1 , Marina Titlić  1
Affiliations
Case Reports

COMPLETE ATRIOVENTRICULAR BLOCK AND ASYSTOLE DURING EPILEPTIC SEIZURE: A CASE REPORT

Nikolina Ivica Miše et al. Acta Clin Croat. 2020 Sep.

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

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References

    1. Holmes TR, Browne GL. Handbook of Epilepsy. 4th edn. Philadelphia: Lippincott Williams & Wilkins; 2008.
    1. Tomson T, Walczak T, Sillanpaa M, Sander JW. Sudden unexpected death in epilepsy: a review of incidence and risk factors. Epilepsia. 2005;46 Suppl 11:54–61. 10.1111/j.1528-1167.2005.00411.x - DOI - PubMed
    1. Velagapudi P, Turagam M, Laurence T, Kocheril A. Cardiac arrhythmias and sudden unexpected death in epilepsy (SUDEP). Pacing Clin Electrophysiol. 2012;35(3):363–70. 10.1111/j.1540-8159.2011.03276.x - DOI - PubMed
    1. Duncan JS, Sander JW, Sisodiya SM, Walker MC. Adult epilepsy. Lancet. 2006;367(9516):1087–100. 10.1016/S0140-6736(06)68477-8 - DOI - PubMed
    1. Nashef L, So EL, Ryvlin P, Tomson T. Unifying the definitions of sudden unexpected death in epilepsy. Epilepsia. 2012;53(2):227–33. 10.1111/j.1528-1167.2011.03358.x - DOI - PubMed

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