Complete heart block with ventricular asystole during left vagus nerve stimulation for epilepsy

被引：76

作者：

Ali, II ^{[1
]}

Pirzada, NA

Kanjwal, Y

Wannamaker, B

Medhkour, A

Koltz, MT

Vaughn, BV

机构：

[1] Med Coll Ohio, Dept Neurol, Toledo, OH 43614 USA

[2] Univ N Carolina, Dept Neurol, Chapel Hill, NC 27599 USA

[3] Reg Med Ctr Orangeburg & Calhoun Counties, Dept Neurol, Orangeburg, SC 29115 USA

来源：

EPILEPSY & BEHAVIOR | 2004年 / 5卷 / 05期

关键词：

vagus nerve stimulation; autonomic nervous system; ventricular asystole; atrioventricular nodal block;

D O I：

10.1016/j.yebeh.2004.05.008

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Vagus nerve stimulation (VNS) is an important therapeutic option for individuals with refractory epilepsy who have failed multiple antiepileptic drugs (AEDs). The intricate relationship of the vagus nerve to cardiac function raises concern that vagal stimulation may affect cardiac rhythm and function. Previous pre- and postmarketing studies have not shown this to be a significant problem, with the incidence of bradyarrhythmias reported to be about 0.1%. We review three cases of ventricular asystole with complete heart block that occurred during intraoperative lead tests. The purpose of these case reports is to identify the specific type of cardiac abnormality associated with vagus nerve stimulation and to identify individuals at risk. (C) 2004 Elsevier Inc. All rights reserved.

引用

收藏

页码：768 / 771

页数：4

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