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. 1977 Jun 4;1(6074):1454–1457. doi: 10.1136/bmj.1.6074.1454

Cardiac arrhythmias that masquerade as epilepsy.

G D Schott, A A McLeod, D E Jewitt
PMCID: PMC1607684  PMID: 861688

Abstract

Over six months 10 patients, representing 20% of those referred to a neurological department with possible idiopathic epilepsy, were subsequently considered to have cardiac arrhythmias that caused or significantly contributed to their symptoms. In some cases relevant arrhythmias were shown only after prolonged electrocardiographic monitoring. Although several theoretical and practical factors need to be assessed when considering the cardiac basis for cerebral disturbances, unsuspected cardiac arrhythmias may underlie "epilepsy" in many patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Clarke J. M., Hamer J., Shelton J. R., Taylor S., Venning G. R. The rhythm of the normal human heart. Lancet. 1976 Sep 4;1(7984):508–512. doi: 10.1016/s0140-6736(76)90801-1. [DOI] [PubMed] [Google Scholar]
  2. Easley R. M., Jr, Goldstein S. Sino-atrial syncope. Am J Med. 1971 Feb;50(2):166–177. doi: 10.1016/0002-9343(71)90145-8. [DOI] [PubMed] [Google Scholar]
  3. Fairfax A. J., Lambert C. D. Neurological aspects of sinoatrial heart block. J Neurol Neurosurg Psychiatry. 1976 Jun;39(6):576–580. doi: 10.1136/jnnp.39.6.576. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Goldberg A. D., Raftery E. B., Cashman P. M. Ambulatory electrocardiographic records in patients with transient cerebral attacks or palpitation. Br Med J. 1975 Dec 6;4(5996):569–571. doi: 10.1136/bmj.4.5996.569. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hirsch C. S., Martin D. L. Unexpected death in young epileptics. Neurology. 1971 Jul;21(7):682–690. doi: 10.1212/wnl.21.7.682. [DOI] [PubMed] [Google Scholar]
  6. Krasnow A. Z., Bloomfield D. K. Artifacts in portable electrocardiographic monitoring. Am Heart J. 1976 Mar;91(3):349–357. doi: 10.1016/s0002-8703(76)80220-7. [DOI] [PubMed] [Google Scholar]
  7. McAllen P. M., Marshall J. Cardiac dysrhythmia and transient cerebral ischaemic attacks. Lancet. 1973 Jun 2;1(7814):1212–1214. doi: 10.1016/s0140-6736(73)90527-8. [DOI] [PubMed] [Google Scholar]
  8. Rubenstein J. J., Schulman C. L., Yurchak P. M., DeSanctis R. W. Clinical spectrum of the sick sinus syndrome. Circulation. 1972 Jul;46(1):5–13. doi: 10.1161/01.cir.46.1.5. [DOI] [PubMed] [Google Scholar]
  9. SHARPEY-SCHAFER E. P. Syncope. Br Med J. 1956 Mar 3;1(4965):506–509. doi: 10.1136/bmj.1.4965.506. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Sarachek N. S., Leonard J. L. Familial heart block and sinus bradycardia. Classification and natural history. Am J Cardiol. 1972 Apr;29(4):451–458. doi: 10.1016/0002-9149(72)90432-8. [DOI] [PubMed] [Google Scholar]
  11. Van Durme J. P. Tachyarrhythmias and transient cerebral ischemic attacks. Am Heart J. 1975 Apr;89(4):538–540. doi: 10.1016/0002-8703(75)90164-7. [DOI] [PubMed] [Google Scholar]
  12. WHITE P. T., GRANT P., MOSIER J., CRAIG A. Changes in cerebral dynamics associated with seizures. Neurology. 1961 Apr;11(4):354–361. doi: 10.1212/wnl.11.4.354. [DOI] [PubMed] [Google Scholar]
  13. Walter P. F., Reid S. D., Jr, Wenger N. K. Transient cerebral ischemia due to arrhythmia. Ann Intern Med. 1970 Apr;72(4):471–474. doi: 10.7326/0003-4819-72-4-471. [DOI] [PubMed] [Google Scholar]

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