Key result
Permanent pacemaker implantation manages ictal third-degree AV block and asystole during recurrent epileptic seizures.
Why the study?
Cardiac arrhythmias during epileptic seizures may contribute to sudden unexpected death in epilepsy, and rare events such as atrioventricular block and asystole cause significant morbidity but can be potentially preventable with pacemaker implantation.
Case Report (n=1)
Ictal third-degree atrioventricular block and asystole can occur during epileptic seizures and may require permanent pacemaker implantation to prevent significant morbidity and mortality.
Ictal AV block with asystole may require pacing in epilepsy; this case leaves open prevalence and screening needs.
Cardiac arrhythmias during or after epileptic seizures are one of the possible pathomechanisms of sudden unexpected death in epilepsy. These arrhythmogenic epilepsies are most commonly associated with sinus tachycardia, but atrioventricular block and asystole can also be seen. Although a rare occurrence, these arrhythmias can lead to significant morbidity and mortality, but also can be potentially preventable with pacemaker implantation. Here we describe a patient with recurrent epileptic seizures, diagnosed with ictal third-degree atrioventricular block and asystole during seizure, which required a permanent cardiac pacemaker.
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Nikolina Ivica Miše (2020) conducted a case report in Recurrent epileptic seizures with ictal third-degree atrioventricular block and asystole (n=1). Permanent cardiac pacemaker was evaluated. A patient with recurrent epileptic seizures experienced ictal third-degree atrioventricular block and asystole, which was managed with the implantation of a permanent cardiac pacemaker.
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