Keeping pace: A 38-second ictal asystole revealed during simultaneous electroencephalogram and electrocardiogram monitoring Shuktika Nandkeolyar, MD,

Slides:

Advertisements

Similar presentations

Pulmonary arterial pressure sensing in a patient with left ventricular assist device during ventricular arrhythmia Jill R. Harris, MSN, ACNP-C, CNS,

Advertisements

Mohammed Almansori, Mohammed Ijaz, S. Nizam Ahmed

A novel de novo calmodulin mutation in a 6-year-old boy who experienced an aborted cardiac arrest Kazuhiro Takahashi, MD, PhD, Taisuke Ishikawa, DVM,

Syncope, seizure-induced bradycardia and asystole: Two cases and review of clinical and pathophysiological features Dmitry Duplyakov, Galina Golovina,

Mohammed Almansori, Mohammed Ijaz, S. Nizam Ahmed

Ellis Rochelson, MD, Lynn Nappo, RN, Robert H. Pass, MD

Sinus bradycardia and chronotropic incompetence associated with single-agent itraconazole antifungal therapy: A case report Julian Tokarev, BS, David.

Cardioneuroablation in ictal asystole—New treatment method

A new approach for implantation of a cardiac resynchronization therapy–defibrillator in a patient with bilateral pectoral neurostimulation devices Saori.

Isolated left bundle branch block progressing to complete heart block and asystole: A novel presentation of a desmin mutation Addison S. Gearhart, MD,

Alan Sugrue, MBBCh, Christopher V

A novel de novo calmodulin mutation in a 6-year-old boy who experienced an aborted cardiac arrest Kazuhiro Takahashi, MD, PhD, Taisuke Ishikawa, DVM,

A 35-year effective treatment of catecholaminergic polymorphic ventricular tachycardia with propafenone Alexandra Marx, MD, Björn Lange, MD, Carsten.

A case of paroxysmal atrioventricular block–induced cardiac arrest

Spectrum of cardiac manifestations from aconitine poisoning

Is it bradycardia or something else causing symptoms?

Quinidine effective for the management of ventricular and atrial arrhythmias associated with Brugada syndrome Laura Halperin, BSc, Greg Mellor, MD, Mario.

Normalization of QT interval duration in a long QT syndrome patient during pregnancy and the postpartum period due to sex hormone effects on cardiac repolarization

Novel CALM3 mutations in pediatric long QT syndrome patients support a CALM3- specific calmodulinopathy Marie-A. Chaix, MD, MSc, Tamara T. Koopmann, PhD,

Use of topical lidocaine in eliminating mechanically stimulated ventricular fibrillation in a patient with short QT syndrome Maria J. Farag, BS, Joseph.

Respiratory rate trending as a cause for atrial lead noise: A first report in an implantable cardioverter-defibrillator patient Isla McClelland, MD,

Dichotomous roles of TBX3 in the establishment of atrioventricular conduction pathways in the human heart Hoang H. Nguyen, MD, Dorothy K. Grange, MD,

Increased threshold in nonselective His-bundle pacing suspected to be caused by amiodarone JoonHyuk Kim, MD, Seth Goldbarg, MD, FHRS, Steven Leung, MD,

Repeated molecular genetic analysis in Brugada syndrome revealed a novel disease- associated large deletion in the SCN5A gene Anders Krogh Broendberg,

Atrial pacing for the management of ventricular arrhythmias in Andersen-Tawil syndrome Opeyemi Fadahunsi, MBBS, MPH, Bilal Shaikh, DO, Andrew Rettew,

Jonathan T. Jaffe, MD, Lee-Gardie Jean, MD, Richard J. Murray, MD

‘Runaway’ vagal nerve stimulator: a case of cyclic asystole

Failure of ICD therapy in lethal arrhythmogenic right ventricular cardiomyopathy type 5 caused by the TMEM43 p.Ser358Leu mutation Kasper Aalbæk Kjærgaard,

Surgical correction of tricuspid regurgitation in patients with ARVD/C

Flecainide treats a novel KCNJ2 mutation associated with Andersen-Tawil syndrome Hanora A. Van Ert, BSN, Elise C. McCune, Kate M. Orland, MS, Kathleen.

Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output

Pulmonary arterial pressure sensing in a patient with left ventricular assist device during ventricular arrhythmia Jill R. Harris, MSN, ACNP-C, CNS,

Emergent use of an MRI-conditional external pacemaker in a patient with sinus arrest facilitating diagnosis of a temporal lobe neoplasm Erin M. McGuinn,

Complete congenital heart block: A case of multilevel block

Emilio L. Garcia, MD, Robert Kim, MD, Steve S. Hsu, MD, FHRS, John N

Cyclical sinus bradycardia and atrioventricular block induced by ticagrelor Victor Waldmann, MD, MPH, Mikael Laredo, MD, Anil Nigam, MD, MSc, Paul Khairy,

Mindy Vroomen, MD, Mark La Meir, MD, Harry J

Expanding the electrical phenotype of NKX2-5 mutations: Ventricular tachycardia, atrial fibrillation, and complete heart block within one family Simone.

Intravenous sotalol for conversion of atrial flutter in infants

Who is the guilty among these two silent killers?

A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation Paul J. Garabelli,

Polymorphic ventricular arrhythmia triggered by temporary epicardial right ventricular stimulation after cardiac surgery Carlos Lopez, MD, Teresa Oloriz,

Sick sinus syndrome in cardiac noncompaction

Albert N. Nayeri, MD, Behzad B. Pavri, MD HeartRhythm Case Reports

Overcoming left bundle branch block by permanent His bundle pacing: Evidence of longitudinal dissociation in the His via recordings from a permanent pacing.

Recurrent syncope due to glossopharyngeal neuralgia

Appropriate use of genetics in a young patient with atrioventricular block and family history of sudden cardiac death Johnni Rudbeck-Resdal, MD, Jens.

Ankyrin-2 variants associated with idiopathic ventricular fibrillation storm in patients with intermittent early repolarization pattern Anders Krogh.

Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C)

Choking-induced cardiac arrest unmasks a diagnosis of catecholaminergic polymorphic ventricular tachycardia Thomas M. Roston, MD, Leenah AlAhmari, Andrew.

Successful implantation of a subcutaneous cardiac defibrillator in a patient with a preexisting deep brain stimulator Yousef Bader, MD, Jonathan Weinstock,

An unusual cause of HV prolongation

Use of Biotronik closed loop pacemaker to treat recurrent syncope in pediatric patient with dysautonomia Jennfier Shortland, MD, Orhan Uzun, MD, Deirdre.

To eat, or not to eat…?: A live video case of swallowing-induced atrial tachycardia Ben Corteville, MD, Daan Cottens, MD, Rene Tavernier, MD, PhD, Mattias.

Subcutaneous implantable cardioverter-defibrillator implantation in a patient with bilateral pectoral deep brain stimulators Thor Tejada, MD, Faisal.

Catheter ablation of the slow pathway as a treatment for severe sinus node dysfunction in a patient with incessant atrioventricular nodal reentry tachycardia

Muhammad Amer, MD, MHS, Whitney M. Burrows, MD, Timm M

Hyper-response to cardiac resynchronization with permanent His bundle pacing: Is parahisian pacing sufficient? Olujimi A. Ajijola, MD, PhD, Jorge Romero,

Dexamethasone suppresses long QT phenotype in patient with acute promyelocytic leukemia treated with arsenic Jeffrey R. Winterfield, MD, FHRS, David.

Intermittent failure to capture: What is the mechanism?

Unusual severe hemodynamic failure associated with standard dose of intravenous flecainide for pharmacological cardioversion of atrial fibrillation Aref.

Dana B. Gal, MD, Julianne Wojciak, MS, Jennifer Perera, MD, Ronn E

Syncope on exertion in a young male

Nanostim leadless pacemaker system: A longer waiting period after active fixation may reduce unnecessary repositioning Hiro Kawata, MD, PhD, Pranav M.

Philip M. Chang, MD, FHRS, CEPS, Akash R

Abdul R. Mourad, MD, Michael H. Kim, MD, FHRS, Malcolm M

Philip M. Chang, MD, FHRS, CEPS, Rahul N. Doshi, MD, FHRS, FACC

Use of topical lidocaine in eliminating mechanically stimulated ventricular fibrillation in a patient with short QT syndrome Maria J. Farag, BS, Joseph.

Late-onset asystolic episodes in a patient with a vagal nerve stimulator Theresa Ratajczak, MD, Robert Blank, MD, Analkumar Parikh, MD, Abdul Wase, MD,

HeartRhythm Case Reports

Presentation transcript:

Keeping pace: A 38-second ictal asystole revealed during simultaneous electroencephalogram and electrocardiogram monitoring Shuktika Nandkeolyar, MD, Hiro Kawata, MD, PhD, Rola Khedraki, MD, Pranav Patel, MD, Teferi Mitiku, MD HeartRhythm Case Reports Volume 4, Issue 2, Pages 73-76 (February 2018) DOI: 10.1016/j.hrcr.2017.11.007 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Captured simultaneous EEG and ECG recording of 38-second ictal asystole. A: Electroencephalogram showing right posterior temporal seizure with sharply contoured 6-7 hertz slow activity present at the right posterior temporal area (T6) followed by evolving rhythmic fast activity in the same region and spreading to the rest of the right frontotemporal area. About 30 seconds after the initiation of seizure activity, the patient experienced bradycardia and, subsequently, a 38-second period of cardiac asystole (electrocardiogram [ECG] trace; bottom red line). Arrows indicate the time stamps on start of the seizure and at the beginning and the end of the asystolic episode. B: The patient’s ECG tracing alone during the incident, clearly demonstrating the 38-second asystole period with corresponding time stamps. HeartRhythm Case Reports 2018 4, 73-76DOI: (10.1016/j.hrcr.2017.11.007) Copyright © 2017 Heart Rhythm Society Terms and Conditions