Peri-ictal heart rate changes in patients with epilepsy
I F Uludag1, O Tumer1, U Sener1
1Department of Neurology, University of Health Sciences, İzmir, Turkey.
Nigerian Journal of Clinical Practice
|August 28, 2023
Summary
Heart rate significantly increases during seizures in epilepsy patients. This elevated heart rate (HR) during peri-ictal periods was observed in both focal and generalized seizures, suggesting potential for early warning systems.
Area of Science:
- Epilepsy Research
- Cardiovascular Physiology
- Biomarker Discovery
Background:
- Heart rate (HR) changes during seizures are recognized as potential biomarkers for epilepsy.
- Understanding peri-ictal HR fluctuations is crucial for improving seizure detection and management.
Purpose of the Study:
- To investigate and characterize heart rate (HR) changes during the peri-ictal period in epilepsy patients.
- To compare peri-ictal HR dynamics between focal and generalized seizures.
Main Methods:
- Analysis of long-term video-electroencephalography (EEG) monitoring data from epilepsy patients.
- Calculation and comparison of HR during interictal, pre-ictal, and ictal periods.
- Stratification of analysis based on seizure type: focal motor seizures and generalized tonic-clonic seizures.
Main Results:
- A significant elevation in HR was observed during both pre-ictal and ictal periods compared to the interictal period.
- This peri-ictal HR increase was consistently found in both focal and generalized seizure types.
- No significant difference in the magnitude of HR increase was detected between focal and generalized seizures.
Conclusions:
- The study confirms increased peri-ictal heart rate in epilepsy, consistent with prior research.
- Findings highlight that peri-ictal HR changes are comparable between focal and generalized motor seizures.
- These results may aid in developing novel early warning systems for epilepsy patients.
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