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The treatment of ictal asystole with cardiac pacing
Journal article   Open access   Peer reviewed

The treatment of ictal asystole with cardiac pacing

Brian D Moseley, Gena R Ghearing, Thomas M Munger and Jeffrey W Britton
Epilepsia (Copenhagen), Vol.52(4), pp.e16-e19
04/2011
DOI: 10.1111/j.1528-1167.2010.02972.x
PMID: 21463267
url
https://doi.org/10.1111/j.1528-1167.2010.02972.xView
Published (Version of record) Open Access

Abstract

Ictal asystole may contribute to seizure-related injury and mortality. The purpose of this study was to evaluate the effect of cardiac pacing on seizure-related injury rates in ictal asystole patients. A survey was conducted to determine seizure-related fall rate and other morbidity in all seven patients with ictal asystole who underwent cardiac pacing at our institution between 1990 and 2004. The rate of seizure-related falls and other morbidities before and after pacing were compared using the Wilcoxon rank-sum test. The mean fall rate was 3.28 falls/month pre-pacemaker implantation. Following pacemaker implantation, this was reduced to 0.005 falls/month (p = 0.001). Seizure-related fractures and motor vehicle accidents were also reduced following cardiac pacing. These findings may have implications in mitigating the potential morbidity associated with ictal asystole.
Outcome Assessment (Health Care) - methods Accidental Falls - mortality Humans Middle Aged Male Epilepsy - physiopathology Heart Arrest - physiopathology Cardiac Pacing, Artificial - methods Epilepsy - complications Young Adult Accidental Falls - prevention & control Adolescent Adult Female Aged Heart Arrest - complications Heart Arrest - therapy

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