Ictal asystole

Ictal Asystole is a medical condition characterized by a cessation or significant slowing of the heart rate during a seizure. It is a rare but potentially life-threatening complication of epilepsy.

Definition[edit | edit source]

Ictal Asystole is defined as a cardiac pause of more than 3 seconds during a seizure, or a decrease in heart rate to less than 30 beats per minute. It is considered a form of ictal bradycardia syndrome, which includes any significant slowing of the heart rate during a seizure.

Causes[edit | edit source]

The exact cause of ictal asystole is not known, but it is thought to be due to an imbalance in the autonomic nervous system during a seizure. This imbalance can cause a sudden increase in parasympathetic activity, leading to a slowing or stopping of the heart.

Diagnosis[edit | edit source]

Diagnosis of ictal asystole is often challenging due to its transient nature and the fact that it often occurs during a seizure, when the patient may not be conscious. It is typically diagnosed through a combination of electroencephalogram (EEG) and electrocardiogram (ECG) monitoring.

Treatment[edit | edit source]

Treatment for ictal asystole typically involves managing the underlying epilepsy. In some cases, a pacemaker may be implanted to regulate the heart rate.

Prognosis[edit | edit source]

The prognosis for individuals with ictal asystole varies depending on the severity of the condition and the effectiveness of treatment. With appropriate management, many individuals can lead normal lives.

References[edit | edit source]

Ictal asystole Resources
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