Cardiac arrhythmias and ictal events within an epilepsy monitoring unit.

Abstract:

:The aim of this study was to determine the incidence and describe the factors influencing ictal cardiac arrhythmias in children with epilepsy. A 2-year review within a pediatric epilepsy monitoring unit revealed 2066 electrographically confirmed seizures in 139 patients. Demographic, seizure, and cardiac variables were collected for each patient. Fisher's exact test, Wilcoxon rank-sum test, and Spearman's rank correlation coefficient were used to identify significant differences and associations at the seizure and patient levels. In 244 seizures meeting inclusion criteria, ictal cardiac arrhythmias were seen in 45% of the seizures (40% of the patients). The most common arrhythmia was benign respiratory sinus arrhythmia (78% of seizures with arrhythmias, 70% of patients with arrhythmias). Potentially serious arrhythmias included irregular variable arrhythmias, and abnormal QRS intervals were seen in 12% of all the patients. In seizures with ictal arrhythmias, 64% occurred in male patients (P = 0.016) and 78% occurred in white patients (P = 0.013). This study estimates the incidence of ictal arrhythmias within the pediatric population that need further medical attention and management.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Standridge SM,Holland KD,Horn PS

doi

10.1016/j.pediatrneurol.2009.10.010

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

201-5

issue

3

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(09)00524-4

journal_volume

42

pub_type

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