%0 Journal Article
%T Brain Rattled, Heart Shackled: Ictal Asystole  in a Patient without Prior History of  Epilepsy or Arrhythmia
%A Joseph Berger
%A Martin Sayegh
%A Anish D. Thomas
%A Cara Sherman
%A Vikas Agrawal
%A Jay V. Doshi
%J World Journal of Cardiovascular Diseases
%P 228-235
%@ 2164-5337
%D 2022
%I Scientific Research Publishing
%R 10.4236/wjcd.2022.124023
%X We present a case of ictal asystole in an 81-year-old female, with no prior</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">&nbsp;</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">history of epileptic activity, or cardiac history suggestive of arrhythmia, who suffered several seemingly unrelated epileptic and asystolic episodes prior to finally having a witnessed seizure followed by an asystolic event. Following this event, all atrioventricular (AV) nodal blockers, and medications with potential seizure threshold lowering activity were stopped, and anti-epileptic medication was optimized. Due to the wishes of the patient¡¯s family, no invasive interventions were pursued</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">.</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\"></span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">H</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">owever</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">,</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">&nbsp;the patient continued to be medically treated with anti-epileptic therapy and had no further asystolic events. Unfortunately, the patient¡¯s overall clinical status deteriorated, and she subsequently passed during her hospital stay after being made do not resuscitate and do no</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">t</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">&nbsp;intubate (DNR/DNI) by the family and then subsequently comfort care. Prior to her passing</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">,</span></span><span style=\"white-space:normal;\"><span style=\"font-family:&quot;\">&nbsp;however, she had remained free of epileptic events for 10 days and free of asystolic events for 21 days.
%K Seizure
%K Epilepsy
%K Asystole
%K Cardiac Arrest
%K Ictal Asystole
%K Arrhythmia
%K Cardiac Pacing
%K Electroencephalogram
%K Ertapenem
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=116946