Cardiac arrest: it's all in the head

Dinan, Annabel; Toffol, Bertrand de; Pallix, Maud; Breard, Guillaume; Babuty, Dominique

doi:10.1016/s0140-6736(08)60628-5

Cited by 8 publications

(7 citation statements)

References 5 publications

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“…1 It has been reported that AeD therapies are generally highly effective to TLE in adult patients, 13,14 while the effectiveness of permanent pacemaker therapy for IA/bradycardia has been still controversial in epilepsy patients. 2,3,8,9 In the present study, 4 patients (cases 1-4) received both pacemaker implantation and therapeutic doses of AeDs. These patients did not experience T-LOC recurrence or epileptic seizures after optimizing AeD therapies.…”

Section: Discussionmentioning

confidence: 96%

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Long‐Term Follow‐Up of Ictal Asystole in Temporal Lobe Epilepsy: Is Permanent Pacemaker Therapy Needed?

Kohno

Abe

Akamatsu

et al. 2016

Cardiovasc electrophysiol

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Section: Discussionmentioning

confidence: 96%

“…utility of pacing in these patients remains controversial. [1][2][3] The purpose of this study was to determine whether adding cardiac pacing to conventional AeD therapy is warranted for IA prevention in patients with documented IA susceptibility.…”

Section: Introductionmentioning

confidence: 99%

Long‐Term Follow‐Up of Ictal Asystole in Temporal Lobe Epilepsy: Is Permanent Pacemaker Therapy Needed?

Kohno

Abe

Akamatsu

et al. 2016

Cardiovasc electrophysiol

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“…Sinus bradycardia or ictal asystole are rare, but fairly well-known expressions of arrhythmogenic epilepsy and most reported cases involve temporal lobe epilepsy (Kouakam et al, 2009;Rocamora et al, 2003;Schuele et al, 2007). Epilepsylike syncope is usually suspected in patients with previously diagnosed focal epilepsy (Varade et al, 2013), but can be the first manifestation of an epileptic syndrome (Dinan et al, 2008). Pacemaker-implantation may reveal symptoms of focal epilepsy, previously obscured by ictal asystole and convulsion (Rémi and Noachtar, 2011).…”

Section: Discussionmentioning

confidence: 99%

Cardioinhibition Can Be the Unique Manifestation of Epilepsy-Like Syncope

Ruppert

Chassagnon

Chauvin

et al. 2015

Journal of Clinical Neurophysiology

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Sudden death and syncope remain frequently unexplained despite numerous investigations. Here, we report the case of a pacemaker-implanted patient who presented during video-polysomnography recording a complete atrioventricular block simultaneously with an electrical seizure. Remarkably, the patient was completely asymptomatic. He had a history of recurrent syncope previously diagnosed as convulsive vasovagal syncope with cardioinhibition. This observation challenges the current belief that epilepsy-like syncope is a partial complex seizure systematically characterized by a stereotypical clinical course and ending suddenly with syncope. Physicians should know that syncope, followed by jerking movements, of cardiac origin is frequent and often misdiagnosed as epilepsy. Conversely, and although this is a rare condition, they should also be aware of the possibility of epilepsy-like syncope, even in the absence of any other principle symptoms evocative of epilepsy.

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“…A study enrolled 20 patients with refractory epilepsy and ILR implantation to record rhythm during convulsions . Overall, 377 episodes were analyzed, showing sinus bradycardia and sinus arrest in eight events (2.1%) and four patients (21%), respectively.…”

Section: Atrial Fibrillation and Therapy Managementmentioning

confidence: 99%

Implantable loop recorder in clinical practice

Bisignani

Bonis

Mancuso

et al. 2018

Journal of Arrhythmia

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The implantable loop recorder (ILR), also known as insertable cardiac monitor (ICM) is a subcutaneous device used for diagnosing heart rhythm disorders. These devices have been strongly improved and miniaturized during the last years showing several reliable features along with the availability of remote monitoring which improves the diagnostic timing and the follow‐up strategy with a potential reduction of costs for health care. The recent advent of injectable ILRs makes the procedure even easier and more tolerated by patients. ILR allows the investigation of unexplained recurrent syncope with uncertain diagnosis, revealing a possible relationship with cardiac arrhythmias. In addition, it has recently been equipped with sophisticated algorithms able to detect atrial fibrillation episodes. This new opportunity may provide to the physicians systematic heart rhythm screening with possible effects on patient antiarrhythmic and anticoagulant therapy management. The use of such devices will surely increase, since they may be helpful to diagnose a wide range of disorders and pathologies. Indeed, further studies should be performed in order to identify all the potentialities of these tools.

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Cardiac arrest: it's all in the head

Cited by 8 publications

References 5 publications

Long‐Term Follow‐Up of Ictal Asystole in Temporal Lobe Epilepsy: Is Permanent Pacemaker Therapy Needed?

Long‐Term Follow‐Up of Ictal Asystole in Temporal Lobe Epilepsy: Is Permanent Pacemaker Therapy Needed?

Cardioinhibition Can Be the Unique Manifestation of Epilepsy-Like Syncope

Implantable loop recorder in clinical practice

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