Smith-Demps C, Jagoda A
Department of Emergency Medicine, University of Florida, Jacksonville, USA.
Am J Emerg Med. 1998 Oct;16(6):582-4. doi: 10.1016/s0735-6757(98)90224-8.
Cardiac arrhythmias are frequently seen with epileptic seizures and their occurrence has been proposed as a possible cause for sudden unexpected death in patients with epilepsy. Reported is a case of a 32-year-old man who presented to the emergency department (ED) following a generalized tonic-clonic seizure and subsequently developed sinus bradycardia and asystole following a second, witnessed tonic-clonic event. This case illustrates the potential for life-threatening cardiac arrhythmias in patients with seizures. The importance of hemodynamic monitoring in seizure patients while they are in the ED is emphasized.
心律失常在癫痫发作时很常见，其发生被认为是癫痫患者突然意外死亡的一个可能原因。本文报告一例32岁男性，在一次全身强直阵挛发作后被送往急诊科（ED），随后在第二次目击到的强直阵挛发作后出现窦性心动过缓和心搏停止。该病例说明了癫痫患者发生危及生命的心律失常的可能性。强调了癫痫患者在急诊科时进行血流动力学监测的重要性。
