[Complex partial seizures as cause of transient cardiac arrhythmia].
The frequency and type of seizure-induced cardiac arrhythmias is presented in light of 36 partial-complex seizures recorded with simultaneous EEG/ECG. An average increase in heart rate of 35% (sinus tachycardia) was observed in 60% of patients (22/36). Bradycardia was demonstrated in 17% (6/36) due to AV-block in 3 cases, once due to sinus bradycardia and once due to bradycardia in the presence of atrial fibrillation. In one patient with a pacemaker spontaneous heart rhythm ceased. The average slowing of heart rate was 29% with a maximum of 62.5%. In the remaining 23% of patients (8/36), no change in heart rate was observed. These results, in conjunction with those of the literature, indicate that a primary epileptic origin needs to be included in the differential diagnosis of cardiac arrhythmias.
Wilder-Smith
E
E
Neurologische Universitätsklinik, Inselspital Bern.
Wilder-Smith
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000209:etiology*; D001919:Bradycardia / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D004562:Electrocardiography; D004569:Electroencephalography; D017029:Epilepsy, Complex Partial / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006327:Heart Block / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D013616:Tachycardia, Sinus / Q000209:etiology
Komplex-partielle Anfälle als Ursache passagerer Herzrhythmusstörungen.