Post-ictal atrial fibrillation detected during video-EEG monitoring: Case report, proposed physiopathologic mechanism and therapeutic considerations

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• dc.contributor.author Sanchez-Larsen, Alvaroca
• dc.contributor.author Aznar Laín, Gemmaca
• dc.contributor.author Benito Villabriga, Begoñaca
• dc.contributor.author Principe, Alessandroca
• dc.contributor.author Ley Nacher, Miguelca
• dc.contributor.author Tauste Campo, Adrià, 1982-ca
• dc.contributor.author Rocamora, Rodrigoca
• dc.date.accessioned 2018-05-17T07:23:42Z
• dc.date.available 2018-05-17T07:23:42Z
• dc.date.issued 2017
• dc.description.abstract 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
• dc.format.mimetype application/pdf
• dc.identifier.citation Sanchez-Larsen A, Aznar-Lain G, Benito B, Principe A, Ley M, Tauste Campo A, Rocamora R. Post-ictal atrial fibrillation detected during video-EEG monitoring: Case report, proposed physiopathologic mechanism and therapeutic considerations. Epilepsy Behav Case Rep. 2017 Jul 6;8:40-43. DOI: 10.1016/j.ebcr.2017.06.005
• dc.identifier.doi http://dx.doi.org/10.1016/j.ebcr.2017.06.005
• dc.identifier.issn 2213-3232
• dc.identifier.uri http://hdl.handle.net/10230/34671
• dc.language.iso eng
• dc.publisher Elsevierca
• dc.relation.ispartof Epilepsy & Behavior Case Reports. 2017 Jul 6;8:40-3
• dc.rights This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Atrial fibrillation
• dc.subject.keyword Cardiac arrhythmia
• dc.subject.keyword Epilepsy
• dc.subject.keyword GTCS
• dc.subject.keyword Generalized tonic–clonic seizure
• dc.subject.keyword PGES
• dc.subject.keyword Post-ictal generalized electroencephalographic suppression
• dc.subject.keyword PIAF
• dc.subject.keyword Post-ictal atrial fibrillation
• dc.subject.keyword Phelan–McDermid syndrome
• dc.subject.keyword SHANK3 gene
• dc.subject.keyword SUDEP
• dc.subject.keyword Sudden unexpected death in epilepsy
• dc.subject.keyword Video-EEG monitoring
• dc.subject.other Arítmia
• dc.subject.other Fibril·lació auricular -- Tractament
• dc.title Post-ictal atrial fibrillation detected during video-EEG monitoring: Case report, proposed physiopathologic mechanism and therapeutic considerationsca
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion