COMPLETE ATRIOVENTRICULAR BLOCK AND ASYSTOLE DURING EPILEPTIC SEIZURE: A CASE REPORT/KOMPLETNI ATRIOVENTRIKULSKI BLOK I ASISTOLIJA TIJEKOM EPILEPTICKOG NAPADAJA: PRIKAZ SLUCAJA

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 occurr...

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Bibliographic Details
Published in:Acta clinica Croatica (Tisak) 2020-09, Vol.59 (3), p.529
Main Authors: Mise, Nikolina Ivica, Jurinovic, Pavao, Jurisic, Zrinka, Bulicic, Ana Repic, Grcic, Petar Filipovic, Titlic, Marina
Format: Article
Language:English
Subjects:
Care and treatment
Case studies
Diagnosis
Epilepsy
Heart block
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Summary: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. Key words: Epilepsy; Complete heart block; Asystole; Cardiac pacemaker; Case report Srcane aritmije tijekom ili nakon epileptickih napadaja jedan su od mogucih patomehanizama neocekivane smrti u bolesnika s epilepsijom. Ove aritmogene epilepsije najcesce su povezane sa sinus tahikardijom, ali se mogu uociti i atrioven-trikulski blok i asistolija. Iako se rijetko pojavljuju, ove aritmije mogu dovesti do znacajnog pobola i smrtnosti, ali se takoder mogu prevenirati ugradnjom srcanog stimulatora. Ovdje opisujemo bolesnika s ponavljajucim epileptickim napadajima i dijagnosticiranim atrioventrikulskim blokom treceg stupnja i asistolijom tijekom napadaja kojemu je bilo potrebno ugraditi trajni srcani stimulator. Kljucne rijeci: Epilepsija; Kompletni srcani blok; Asistolija; Srcani stimulator; Prikaz slucaja
ISSN:0353-9466
DOI:10.20471/acc.2020.59.03.18