HOME >> MEDICINE >> NEWS
Pacemakers could protect patients with epilepsy from sudden unexplained death

Results of a UK study in this week's issue of THE LANCET highlight how interruptions to the heart's rhythm is an under-reported consequence of epileptic seizures, and that the use of cardiac pacemakers by some epilepsy patients could play a future role in protecting against sudden unexplained death.

Patients with epilepsy are at risk of sudden unexplained death. Irregular heart rhythm as a result of neurological dysfunction during seizures is thought to be a possible cause.

John Duncan (Institute of Neurology UCL and National Society for Epilepsy, London) and colleagues studied 20 patients with epilepsy who received an implantable device which monitored heart rhythms. These devices were programmed to record automatically for very slow heart beat (bradycardia, 40 beats per minute or less) or very fast beats (tachycardia, 140 beats or more per minute) were detected.

Patients were studied for up to 22 months; ECG patterns monitored heart rhythms during 377 seizures. Heart rate during habitual seizures exceeded 100 beats per minute among 16 patients. Four patients had bradycardia or periods of asystole (cardiac inactivity) and were given permanent pacemaker insertion. Three of these four patients had potentially fatal asystole.

Professor Duncan comments: "We have shown that implantable loop recorders can identify potentially fatal cardiac abnormalities in patients with epilepsy, and suggest that the incidence of bradycardia and asystole has previously been under-reported. Asystole underlies a proportion of sudden unexpected deaths in epilepsy, which could be prevented by cardiac-pacemaker insertion."

In an accompanying commentary (p 2157), Lawrence J Hirsch and W Allen Houser (Mailman School of Public Health, Columbia University, New York City, USA) consider the present study an important step forward but caution that it is too early to change clinical practice until larger confirmatory studies are conclusive.


'"/>

Contact: Joe Santangeloj
j.santangelo@elsevier.com
1-212-633-3810
Lancet
16-Dec-2004


Page: 1

Related medicine news :

1. Charcoal and forest management could reduce greenhouse gas levels & save lives in Africa
2. Novel therapy tested in mice could chase away cat allergies
3. Costs of antidepressants could have funded effective alternatives
4. Emergency clopidogrel could save thousands of lives46,000-patient heart attack trial results
5. Blood pressure treatment could cut risk of strokes and heart attacks
6. Proteins found in urine of pregnant women could help diagnose preeclampsia
7. Three out of the four million newborn babies who die each year could be saved
8. Increasing physician volume requirement could improve mammogram accuracy, study concludes
9. Chemicals in apples could reduce the risk of breast cancer, Cornell study in rats suggests
10. Training could remove racial bias from police reactions
11. Test could improve detection of prion disease in humans

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: