Evidence map›Paper›PMID 42382511›Full record

ArticleBasic and clinical neuroscience

Assessing Electrocardiographic Parameters in the Patients With Drug-resistant Temporal Lobe Epilepsy: A Case-control Study.

Jafar Mehvari, Zeinab Jaafari, Mohamad Zare, Nasim Tabrizi, Alireza Khosravi Farsani

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Article in Basic and clinical neuroscience. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

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5 authors.

Jafar MehvariDepartment of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID https://orcid.org/0000-0003-3209-7479
Zeinab JaafariDepartment of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID https://orcid.org/0009-0008-9100-2242
Mohamad ZareDepartment of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Nasim TabriziDepartment of Neurology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Alireza Khosravi FarsaniDepartment of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID https://orcid.org/0000-0003-0736-2090

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Sudden, unexpected death in epilepsy (SUDEP) is a substantial cause of death in patients with epilepsy. Although electroconductive disorders leading to life-threatening arrhythmia are supposed to play a crucial role, there is a paucity of knowledge in variables among the patients with drug-resistant temporal lobe epilepsy (TLE) compared to the healthy controls. Methods: The current case-control study has been conducted on 50 drug-resistant TLE patients as the cases and 50 age- and gender-matched healthy subjects selected from their first-degree family members. Electrocardiographic (ECG) were taken from the cases when admitted at the hospital (baseline), immediately after a seizure incidence, and within an hour after the end of the seizure and compared with a random ECG of the controls considering parameters, including PR-, RR-, and corrected QT interval (QTc), P wave duration, and heart rate (HR) variability. Results: A shorter corrected QTc interval was notified among the drug-resistant TLE patients compared to the controls (P=0.017) in the baseline taken ECGs, while the assessments immediately after the seizure revealed significant differences in terms of RR-interval (P=0.005) and HR (P=0.005). Postictal ECGs did not differ between the groups (P>0.05). Conclusion: According to the findings of this study, shortened QTc interval at baseline ECGs, shortened RR interval, and increased HR during the seizure were the ECG elements that affected drug-resistant TLE patients; however, to generalize the outcomes, further studies are required.

Indexed as

Cardiac arrhythmiaElectrocardiography (ECG)Sudden unexpected death in epilepsy (SUDEP)Temporal lobe epilepsy (TLE)

Identifiers

PMID42382511
PMCPMC13318212

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