1Department of Neurology, Split University Hospital Centre, Split, Croatia; 2Department of Cardiology, Split University Hospital Centre, Split, Croatia.
Acta Clin Croat. 2020 Sep;59(3):529-531. doi: 10.20471/acc.2020.59.03.18.
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.
癫痫发作期间或之后出现的心律失常是癫痫猝死的可能发病机制之一。这些致心律失常性癫痫最常与窦性心动过速相关,但也可见房室传导阻滞和心脏停搏。尽管这种情况很少见,但这些心律失常可导致严重的发病率和死亡率,而且通过植入心脏起搏器也可以潜在预防。在此,我们描述了一例反复癫痫发作的患者,该患者在癫痫发作期间被诊断为癫痫发作三度房室传导阻滞和心脏停搏,需要植入永久性心脏起搏器。