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November 1, 1989Archives of Neurology

Electrocardiographic Changes During Electrographic Seizures

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Why the study?

What are the electrocardiographic changes and incidence of high-risk cardiac arrhythmias during electrographic seizures?

Population

45 patients who experienced 106 electrographic seizures

Comparison

Simultaneous 24-hour electroencephalographic… vs Preictal baseline (1 minute preictally)

Design

Case_series

Follow-up

24 hours

Authors

MKMarshall J. KeilsonCohen Children's Medical CenterWHW. Allen HauserCenter for Pain and the BrainJMJason P. MagrillMaimonides Medical Center

Discussion

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Implication

Ictal tachycardia without high-risk arrhythmias in seizures supports low arrhythmia burden; leaves open their contribution to SUDEP.

Structured PICO

What are the electrocardiographic changes and incidence of high-risk cardiac arrhythmias during electrographic seizures?

P
Population
45 patients who experienced 106 electrographic seizures
I
Intervention
Simultaneous 24-hour electroencephalographic - electrocardiographic monitoring
C
Comparator
Preictal baseline (1 minute preictally)
O
Outcome
Electrocardiographic changes (heart rate and arrhythmias) during electrographic seizuressurrogate

Ictal tachycardia is common during electrographic seizures, but high-risk cardiac arrhythmias are uncommon, suggesting they may not be a primary cause of sudden unexpected death in epilepsy.

Cite This Study

Keilson et al. (1989) studied this question.

synapsesocial.com/papers/6a709ed6febe604dd709646bhttps://doi.org/10.1001/archneur.1989.00520470023018
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