Resuscitation of sudden cardiac death caused by acute epileptic seizures: A case report

Publication date: Available online 8 January 2016 Source:Journal of Acute Disease Author(s): Dana-Oliviana Geavlete, Oana Ionita, Leonard Mandes, Iulia Kulcsar, Emanuel Stoica, Radu Ciudin, Cezar Macarie, Ovidiu Chioncel Symptomatic long QT syndrome in pediatric patients is a life-threatening condition. Sometimes, this pathology can be misdiagnosed and erroneously managed as generalized epilepsy due to similar clinical manifestations. The presented case discusses a 13-year-old female patient with generalized epilepsy since the age of 4, admitted for two episodes of resuscitated cardiac arrest due to torsades de pointes and ventricular fibrillation. The final diagnosis of congenital long QT was established and due to the patient’s high-risk profile for future cardiac events, implantable cardiac defibrillator was subsequently indicated. Early recognition of congenital long QT and timing of cardiac therapy were crucial and potentially lower the incidence of fatal dysrhythmias commonly associated this condition. In high-risk patients, both medical and interventional therapy can be life-saving.
Source: Journal of Acute Disease - Category: Emergency Medicine Source Type: research