[Diagnostic value of 24-hour simultaneous EEG and ECG monitoring of patients with heart diseases and atypical consciousness disorders].
In 24 patients with diagnostically not clear, short, recurrent episodes of consciousness disturbances and heart diseases and/or a history of arrhythmia simultaneous 24-hour recording was done of eeg and ecg. In the differential diagnosis epilepsy was considered, especially since in most cases routine eeg records demonstrated slight episodic changes. During 24-hour recording in 8 cases typical episodes of consciousness disturbances developed but in none of them these episodes were associated with arrhythmia which ruled out their cardiogenic origin. In 2 cases EEG recording served for establishing the diagnosis of partial complex seizures, 2 patients had hyperventilation syncope, one had TIA, in the remaining 3 cases absence of eeg and ecg changes during these episodes and coexistence of anxiety neurosis suggested functional origin. So the combined 24-hour eeg+ecg recording made possible establishing of diagnosis in 1/3 of these patients, enabling adequate treatment to be instituted.
Niedzielska
K
K
Kliniki Diagnostyki i Terapii Chorób Układu Nerwowego, Instytutu Psychiatrii i Neurologii w Warszawie i z Instytutu Kardiologii, Warszawie.
Laskowska-Studniarska
W
W
Kunicka
J
J
Popławska
W
W
Kuran
W
W
Witkowska-Olearska
K
K
D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D002940:Circadian Rhythm; D003244:Consciousness Disorders / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D015716:Electrocardiography, Ambulatory; D004569:Electroencephalography / Q000379:methods; D017029:Epilepsy, Complex Partial / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D006985:Hyperventilation / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000209:etiology
Znaczenie diagnostyczne całodobowego jednoczasowego monitorowania EEG i ECG u osób z chorobami serca i nietypowymi zaburzeniami świadomości.