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伪装成癫痫的心律失常。

Cardiac arrhythmias that masquerade as epilepsy.

作者信息

Schott G D, McLeod A A, Jewitt D E

出版信息

Br Med J. 1977 Jun 4;1(6074):1454-7. doi: 10.1136/bmj.1.6074.1454.

Abstract

Over six months 10 patients, representing 20% of those referred to a neurological department with possible idiopathic epilepsy, were subsequently considered to have cardiac arrhythmias that caused or significantly contributed to their symptoms. In some cases relevant arrhythmias were shown only after prolonged electrocardiographic monitoring. Although several theoretical and practical factors need to be assessed when considering the cardiac basis for cerebral disturbances, unsuspected cardiac arrhythmias may underlie "epilepsy" in many patients.

摘要

在六个月的时间里,10名患者(占转诊至神经科疑似特发性癫痫患者的20%)随后被认为患有导致其症状或对症状有显著影响的心律失常。在某些情况下,相关心律失常仅在长时间心电图监测后才显现出来。尽管在考虑脑部紊乱的心脏基础时需要评估几个理论和实际因素,但许多患者“癫痫”的潜在病因可能是未被怀疑的心律失常。

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