Department of Cardiology, Amphia Hospital Breda, Molengracht 21, 4818 CK, Breda, the Netherlands.
Neth Heart J. 2014 Jun;22(6):301-3. doi: 10.1007/s12471-013-0442-7.
Convulsions and loss of consciousness can be caused by, among other things, arrhythmias, conduction disorders or epilepsy. In clinical practice it can be difficult to distinguish between these causes of syncope, even for well-trained specialists. Patients with cardiac syncope have a substantial risk of subsequent sudden death. We present a patient with previously unknown noncompaction cardiomyopathy in whom syncope induced by ventricular tachycardia was misinterpreted as epilepsy. We present this case report in order to underline the necessity for cardiological assessment in patients with assumed mild epilepsy or syncope of unknown origin.
抽搐和意识丧失可能由心律失常、传导障碍或癫痫等原因引起。在临床实践中,即使是训练有素的专家也很难区分这些晕厥的原因。心源性晕厥患者有很大的猝死风险。我们报告了一例以前未知的非致密性心肌病患者,其由室性心动过速引起的晕厥被误诊为癫痫。我们报告这个病例是为了强调在疑似轻度癫痫或不明原因晕厥的患者中进行心脏评估的必要性。