Accurate diagnosis of convulsive syncope: role of an implantable subcutaneous ECG monitor. |
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Authors: | A Zaidi P Clough G Mawer A Fitzpatrick |
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Affiliation: | The Royal Infirmary, Manchester Heart Centre, Oxford Road, Manchester, M13 9WL, UK. ami@mhc.cmht.nwest.nhs.uk |
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Abstract: | Convulsive syncope due to transient bradycardia is recognized as a cause of treatment-resistant seizures. However, the diagnosis may be difficult to make with conventional electrocardiographic devices if attacks are infrequent. We present a case of apparent epilepsy in which a new implantable electrocardiographic event recorder (the 'Reveal' insertable loop recorder) was used to show that attacks were caused by prolonged asystole of up to 36 s in duration. The insertable loop recorder may have an important role in the investigation of patients with treatment-resistant seizures, particularly where there is a strong suspicion of an underlying cardiac arrhythmia. |
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