Post-ictal atrial fibrillation detected during video-EEG monitoring: Case report, proposed physiopathologic mechanism and therapeutic considerations☆☆☆★
| Autor: | Miguel Ley, Adrià Tauste Campo, Álvaro Sánchez-Larsen, Rodrigo Rocamora, Begoña Benito, Alessandro Principe, Gemma Aznar-Lain |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Phelan–McDermid syndrome Fibril·lació auricular -- Tractament AF atrial fibrillation SUDEP Case Report GTCS generalized tonic–clonic seizure 030204 cardiovascular system & hematology Cardiac arrhythmia lcsh:RC321-571 PIAF Post-ictal atrial fibrillation 03 medical and health sciences Behavioral Neuroscience Epilepsy 0302 clinical medicine Phelan-McDermid syndrome GTCS Internal medicine medicine PGES Video-EEG monitoring Ictal cardiovascular diseases Generalized tonic–clonic seizure lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry PGES post-ictal generalized electroencephalographic suppression AF - Atrial fibrillation Mechanism (biology) business.industry PIAF post-ictal atrial fibrillation Video EEG monitoring Atrial fibrillation medicine.disease VEM video-EEG monitoring SHANK3 gene Neurology Post-ictal generalized electroencephalographic suppression Arítmia cardiovascular system Cardiology Sudden unexpected death in epilepsy Neurology (clinical) SUDEP sudden unexpected death in epilepsy business 030217 neurology & neurosurgery |
| Zdroj: | Epilepsy & Behavior Case Reports Epilepsy and Behavior Case Reports, Vol 8, Iss C, Pp 40-43 (2017) |
| ISSN: | 2213-3232 |
| Popis: | Cardiac arrhythmias are a frequent complication related to seizures [1]. Most are benign although some, such as high-grade atrioventricular block, asystole, atrial fibrillation (AF), and ventricular fibrillation are potentially harmful. Indeed, several studies suggest that cardiac dysfunction may be the primary underlying cause of sudden unexpected death in epilepsy (SUDEP). Post-ictal atrial fibrillation (PIAF) is a very rare cardiac arrhythmia associated with seizures, and its relevance is currently unknown. AF characteristics include: 1) irregular R-R intervals, 2) absence of distinct repeating P waves, and 3) erratic atrial activity [2]. Atrial flutter is differentiated from AF because of the characteristic “saw tooth” waves on the ECG instead of the chaotic atrial rhythm of the AF. In fact, there are only four reported cases of PIAF diagnosed during video-EEG monitoring (VEM) [1], [3], [4]. We report a case of PIAF identified during long-term VEM, with recurrent episodes corroborated by Holter-ECG monitoring |
| Databáze: | OpenAIRE |
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