The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy management
Concurrent electrocardiogram (ECG) and electroencephalogram (EEG) recording both ictally and interictally has significant value in the comprehensive management of epilepsy. This review highlights the diagnostic utility of simultaneous ECG and EEG monitoring in differentiating between epileptic and c...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Epilepsy & Behavior Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589986424000832 |
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| author | Jeremy D. Slater Selim Benbadis Richard L. Verrier |
| author_facet | Jeremy D. Slater Selim Benbadis Richard L. Verrier |
| author_sort | Jeremy D. Slater |
| collection | DOAJ |
| description | Concurrent electrocardiogram (ECG) and electroencephalogram (EEG) recording both ictally and interictally has significant value in the comprehensive management of epilepsy. This review highlights the diagnostic utility of simultaneous ECG and EEG monitoring in differentiating between epileptic and cardiac events, detecting cardiac abnormalities, and identifying autonomic dysfunction. The critical role of this combined approach to defining the mechanisms underlying cardiac morbidity and sudden cardiac death in patients with epilepsy and in guiding therapeutic interventions is underscored. The “Epileptic Heart Syndrome” is examined, illustrating how chronic epilepsy can adversely affect cardiac structure and function, leading to increased risk for interictal cardiac arrhythmias, morbidities, and mortality. The findings emphasize the need for standardized protocols for routine concurrent ECG and EEG recording in epilepsy monitoring units both ictally and interictally to ensure comprehensive patient care, improve diagnostic accuracy, and potentially reduce epilepsy-related morbidity and mortality. Future research directions are proposed to address existing gaps and to advance the technology and methodology for concurrent monitoring including wearable and computer-based monitoring systems. |
| format | Article |
| id | doaj-art-ae73115f9ac74a7cb7c6889e3dc10616 |
| institution | Kabale University |
| issn | 2589-9864 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epilepsy & Behavior Reports |
| spelling | doaj-art-ae73115f9ac74a7cb7c6889e3dc106162024-12-09T04:27:54ZengElsevierEpilepsy & Behavior Reports2589-98642024-01-0128100726The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy managementJeremy D. Slater0Selim Benbadis1Richard L. Verrier2Stratus, Inc., Irving TX, USADepartment of Epilepsy/Neurology, University of South Florida, Tampa General Hospital, Tampa, FL, USADepartment of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA; Corresponding author.Concurrent electrocardiogram (ECG) and electroencephalogram (EEG) recording both ictally and interictally has significant value in the comprehensive management of epilepsy. This review highlights the diagnostic utility of simultaneous ECG and EEG monitoring in differentiating between epileptic and cardiac events, detecting cardiac abnormalities, and identifying autonomic dysfunction. The critical role of this combined approach to defining the mechanisms underlying cardiac morbidity and sudden cardiac death in patients with epilepsy and in guiding therapeutic interventions is underscored. The “Epileptic Heart Syndrome” is examined, illustrating how chronic epilepsy can adversely affect cardiac structure and function, leading to increased risk for interictal cardiac arrhythmias, morbidities, and mortality. The findings emphasize the need for standardized protocols for routine concurrent ECG and EEG recording in epilepsy monitoring units both ictally and interictally to ensure comprehensive patient care, improve diagnostic accuracy, and potentially reduce epilepsy-related morbidity and mortality. Future research directions are proposed to address existing gaps and to advance the technology and methodology for concurrent monitoring including wearable and computer-based monitoring systems.http://www.sciencedirect.com/science/article/pii/S2589986424000832EpilepsyCardiacMonitoringAutonomic dysfunctionEpileptic heart syndrome |
| spellingShingle | Jeremy D. Slater Selim Benbadis Richard L. Verrier The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy management Epilepsy & Behavior Reports Epilepsy Cardiac Monitoring Autonomic dysfunction Epileptic heart syndrome |
| title | The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy management |
| title_full | The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy management |
| title_fullStr | The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy management |
| title_full_unstemmed | The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy management |
| title_short | The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy management |
| title_sort | brain heart connection value of concurrent ecg and eeg recordings in epilepsy management |
| topic | Epilepsy Cardiac Monitoring Autonomic dysfunction Epileptic heart syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2589986424000832 |
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