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Cardiac pacing in the management of severe pallid breath‐holding attacks
Author(s) -
Wilson Dyanne,
Moore Philip,
Finucane A Kirsten,
Skinner Jonathan R
Publication year - 2005
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2005.00594.x
Subject(s) - medicine , reflex , intervention (counseling) , syncope (phonology) , intensive care medicine , anesthesia , pediatrics , cardiology , psychiatry
Reflex anoxic seizures (pallid breath‐holding attacks) can be managed with reassurance in the majority of individuals. In a minority of cases where frequent syncopal and seizure activity occurs, intervention needs to be considered. We report a case of a 19‐month infant with a history of severe reflex anoxic seizures who underwent pacemaker insertion with a spectacular result, with complete termination of syncope and seizures, and improvement in quality of life for the patient and family. A literature review of the safety and effectiveness of pacemaker insertion is also presented to support its use as a treatment option for this condition.