HEART RHYTHM AND CONDUCTION DISORDERS IN PATIENTS WITH EPILEPSY WITHOUT CARDIAC PATHOLOGY

Studied the frequency and types of cardiac arrhythmias and cardiac conduction in patients with epilepsy without concomitant cardiac pathology in comparison with a group of healthy individuals. The results obtained during the studies showed that in patients with epilepsy, episodes of sinus tachycardia, a single polytopic supraventricular extrasystole, as well as episodes of lengthening the QT interval and rigidity of the circadian profile were significantly more likely to occur (p <0.05). No significant differences were found in the frequency of occurrence of sinus bradycardia, atrial pacemaker migration, atrial heart rhythm, pauses in the heart for more than 2 seconds, degree 1 AV block and degree 2 AV block, mobility 1, single monotopic supraventricular extrasystoles, single monotopic ventricular extrasystoles. Other rhythm and conduction disturbances were not determined. Thus, it is shown that the presence of epileptiform activity may be associated with a higher risk of rhythm and conduction disturbances. Some of these reported disorders can be life threatening, possibly leading to cases of sudden death in epilepsy. The obtained results emphasize the need to treat patients with epilepsy as patients with a high risk of cardiovascular events and confirm the prospect of further studies to identify the risks of sudden cardiac death, as well as the possibilities of its medical correction. Promising is the further study of this problem: simultaneous daily EEG and ECG monitoring to assess changes in the ECG directly during an epileptic seizure, as well as the search and implementation of new physiological, genetic and biological markers of this pathology.

epilepsy, cardiac arrhythmias, extrasystole, QT lengthening syndrome, sudden cardiac death, tachycardia, sudden death syndrome with epilepsy