[Electrophysiologic methods in differential diagnosis of syncope].
The purpose of the study was the assessment of the diagnostic possibilities and usefulness of 24-hour cassette EEG/ECG recording in the differential diagnosis of short attacks of consciousness disturbances and/or syncopal states, and demonstration of interrelations between arrhythmias and seizures of cerebral origin. 24-EEG/ECG was obtained in 71 patients, including 34 with cardiological history who had above disturbances. Recording of 24-EEG/ECG made possible establishing of correct diagnosis in 15 cases (21.1%): in 1 case it was sinus arrest, in 14--epilepsy. In another 5 cases (7%) arrhythmia or conduction disturbances were found which could have been the case of their attacks, they all were patients with cardiological history. The analysis of EEG/ECG records of 47 epileptic seizures in 16 patients showed that in 11 of them (69%) the seizures were associated with sinus tachycardia without other arrhythmias. These results demonstrated the complex cause-effect relationship of cardiocerebral disorders in the aetiology of these states, and the usefulness of 24-EEG/ECG in their detection.
Niedzielska
K
K
Instytutu Psychiatrii i Neurologii w Warszawie.
Laskowska-Studniarska
W
W
Kuran
W
W
Kunicka
J
J
Popławska
W
W
Borowiecka
E
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013575:Syncope / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D013616:Tachycardia, Sinus / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology
Róznicowa diagnostyka elektrofizjologiczna stanów o symptomatologii synkopalnej.