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