Cardiac Rhythm Disturbances in Hard-to-treat Epilepsy Patients Using Loop ECG Recorders

National Research Center for Preventive Medicine193 enrolled

Overview

Seizure-related cardiac arrhythmias are one of the possible causes of sudden unexpected death in epilepsy (SUDEP). Identification of these patients is challenging because cardiac rhythm disturbances could emerge only during seizures. Furthermore, patients could have transitioned sinus or AV node blocks which could cause syncopes with brady-related seizures which could be treated as epilepsy-related seizures. Implantable loop recorders have an ability to recording single-channel ECG for up to 36 months which give an ability to detect these heart disturbances. The purpose of this study is to look the incidence and types of arrhythmias which occur in 150 patients with hard-to-treat partial seizures and secondarily generalized seizures

Study Type

OBSERVATIONAL

Enrollment

193

Conditions

Epilepsy

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Hard-to-treat focal epilepsy 2. Aged 18 to 60 years 3. If female not pregnant Exclusion Criteria: 1. Known clinical relevant structural cardiac disease 2. Implanted pacemaker, including cardiac resynchronisation device, or defibrillator 3. Use of beta blockers or other antiarrhythmic medication 4. Diagnosis of psychogenic non-epileptic seizures

Outcomes

Primary Outcomes

Identification of a dysrhythmia

A dysrhythmia will be defined as either * asystole of ≥6 s * sinus bradycardia of ≤40 bpm during physical activity * 2nd or 3rd-degree AV-block * sinus tachycardia of ≥120 bpm * nonsustained and sustained monomorphic VT of ≥170 bpm * polymorphic VT * atrial fibrillation/flutter