Open AccessResuscitation of sudden cardiac death caused by acute epileptic seizures: A case report
Author(s) -
D O Geavlete,
Oana Ionita,
Leonard Mandeş,
I Kulcsar,
Emanuel Stoica,
Radu Ciudin,
Cezar Macarie,
Ovidiu Chioncel
Publication year - 2016
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.1016/j.joad.2015.11.008
Subject(s) - medicine , ventricular fibrillation , torsades de pointes , sudden cardiac death , epilepsy , long qt syndrome , incidence (geometry) , sudden cardiac arrest , sudden death , qt interval , cardiology , cardiopulmonary resuscitation , resuscitation , pediatrics , intensive care medicine , anesthesia , psychiatry , physics , optics
ymptomatic long QT syndrome in pediatric patients is a life-threatening condition. Sometimes, this pathology can be misdiagnosed and erroneously managed as generalized epilepsy due to similar clinical manifestations. The presented case discusses a 13-year-old female patient with generalized epilepsy since the age of 4, admitted for two episodes of resuscitated cardiac arrest due to torsades de pointes and ventricular fibrillation. The final diagnosis of congenital long QT was established and due to the patient's high-risk profile for future cardiac events, implantable cardiac defibrillator was subsequently indicated. Early recognition of congenital long QT and timing of cardiac therapy were crucial and potentially lower the incidence of fatal dysrhythmias commonly associated this condition. In high-risk patients, both medical and interventional therapy can be life-saving