New onset syncopal events following vagus nerve stimulator implantation might be key to preventing vagus nerve stimulation-induced symptomatic bradycardia — A case report and review

Epilepsy and Behavior Case Reports Pub Date : 2018-01-01 DOI:10.1016/j.ebcr.2018.04.004

Hiroko Kato , Ayataka Fujimoto , Tohru Okanishi , Ryo Sugiura , Kentaro Ijima , Hideo Enoki

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引用次数: 7

Abstract

Purpose

To identify risk factors for VNS-associated arrhythmia.

Methods

A literature review identified 14 papers with 21 patients. We compared patients with VNS associated arrhythmia (arrhythmia group, n = 22) and patients without VNS associated arrhythmia (control group of our VNS implanted patients, n = 29).

Results

New onset syncopal events following VNS placement were seen in the arrhythmia group (p < 0.001).

Conclusion

Even though arrhythmia could be symptomatic, most cases associated with syncope were treated as new-onset epileptic seizures with adjustment of anti-seizure drugs. To detect cardiac asystole during VNS treatment, clinicians should be alert to the possibility of new onset syncopal events that differ from habitual seizures.

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迷走神经刺激器植入后新发晕厥事件可能是预防迷走神经刺激引起的症状性心动过缓的关键

目的探讨vns相关性心律失常的危险因素。方法回顾性分析文献14篇，21例患者。我们比较了有VNS相关心律失常的患者(心律失常组，n = 22)和无VNS相关心律失常的患者(我们的VNS植入患者对照组，n = 29)。结果心律失常组在放置VNS后出现新发晕厥事件(p < 0.001)。结论尽管心律失常可能有症状，但大多数晕厥合并的病例应作为新发癫痫发作治疗，并调整抗癫痫药物。为了检测VNS治疗期间的心脏骤停，临床医生应警惕不同于习惯性癫痫发作的新发晕厥事件的可能性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Epilepsy and Behavior Case Reports

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