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July 1, 2019Open Access Emergency MedicineOpen Access

Immediate defibrillation and CPR successfully revive a near-SUDEP patient from post-seizure VF.

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Why the study?

The exact cause of sudden unexpected death in epilepsy (SUDEP) has not been established, and ventricular fibrillation or asystole related to seizures is very rare.

Design

Case report

Key result

Immediate defibrillation and cardiopulmonary resuscitation successfully revived a near-SUDEP patient who developed ventricular fibrillation after a convulsive seizure.

Authors

MSMyung Ha SeoWSWon Young Sung

Discussion

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Member takes

Overview

Alerts to VF risk after seizures; hypothesis-generating for arrhythmia mechanisms in SUDEP without practice change.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
1 near-SUDEP patient who experienced ventricular fibrillation after a convulsive seizure.
I
Intervention
Immediate defibrillation with an automated external defibrillator and cardiopulmonary resuscitation
O
Outcome
Successful revival without complicationshard clinical

Highlights the possibility of fatal arrhythmias like ventricular fibrillation as a cause of SUDEP and the importance of immediate defibrillation and CPR in epileptic patients experiencing seizure-induced cardiac arrest.

Cite This Study

Seo et al. (2019) conducted a case report in Epilepsy / near-SUDEP (n=1). Immediate defibrillation and cardiopulmonary resuscitation was evaluated on Revival without complications. Immediate defibrillation and cardiopulmonary resuscitation successfully revived a near-SUDEP patient who developed ventricular fibrillation after a convulsive seizure.

synapsesocial.com/papers/6aa8901b30fb60f4f46536a9https://doi.org/10.2147/oaem.s214619
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1When the first seizure can be the last: ventricular fibrillation following a new‐onset seizure2020 · 3 citations
  2. 2Cardiac Arrhythmias and Sudden Unexpected Death in Epilepsy (SUDEP)2011 · 74 citations
  3. 3Near‐Sudden Unexpected Death in Epilepsy Rescued by Bystander Use of an Automated External Defibrillator: A Case of Nonconvulsive Seizure2026
  4. 4Sudden unexpected death in epilepsy patients is often misdiagnosed as sudden cardiac death2017 · 8 citations
  5. 5Risk Factors in Sudden Death in Epilepsy (SUDEP): The Quest for Mechanisms2007 · 192 citations