The DOI matches its Crossref record; 32 of the 33 references it cites were found in a registry or an index.
Misdiagnosis of epilepsy: many seizure-like attacks have a cardiovascular cause
Open accessAbstract
Objectives We sought to investigate the value of cardiovascular tests to diagnose convulsive syncope in patients with apparent treatment-resistant epilepsy.Background As many as 20% to 30% of epileptics may have been misdiagnosed. Many of these patients may have cardiovascular syncope, with abnormal movements due to cerebral hypoxia, which may be difficult to differentiate from epilepsy on clinical grounds.Methods Seventy-four patients (33 men, mean age 38.9 +/- 18 years [range 16 to 77]) who were previously diagnosed with epilepsy were studied. Inclusion criteria included continued attacks despite adequate anticonvulsant drug treatment (n = 36) or uncertainty about the diagnosis of epilepsy, on the basis of the clinical description of the seizures (n = 38). Each patient underwent a head-up tilt test and carotid sinus massage during continuous electrocardiography, electroencephalography and blood pressure monitoring. Ten patients subsequently underwent long-term electrocardiographic (ECG) monitoring with an implantable loop recorder.Results In total, an alternative diagnosis was found in 31 patients (41.9%), including 13 (36.1%) of 36 patients taking an anticonvulsant medication. Nineteen patients (25.7%) developed profound hypotension or bradycardia during the head-up tilt test, confirming the diagnosis of vasovagal syncope. One other patient had a typical vasovagal reaction during intravenous cannulation. Two patients developed psychogenic symptoms during the head-up tilt test. Seven patients (9.5%) had significant ECG pauses during carotid sinus massage. In two patients, episodes of prolonged bradycardia correlated precisely with seizures according to the insertable ECG recorder.Conclusions A simple, noninvasive cardiovascular evaluation may identify an alternative diagnosis in many patients with apparent epilepsy and should be considered early in the management of patients with convulsive blackouts.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The frequent use of EEG has been observed in other evaluations of diagnostic pathways for patients with syncope.16,17”
From Use of an implantable loop recorder to increase the diagnostic yield in unexplained syncope: results from the PICTURE registry (2011) · cites this paper as [17]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Patients in whom epilepsy was suspected but the treatment has proven ineffective: in pooled data, an attack could have been documented by ILR in 62% of patients, with an arrhythmic cause being responsible in 26% 137,189-191”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [137]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Tilt testing may be helpful in separating syncope with abnormal movements from epilepsy. 137”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [137]
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“In the EGSYS 1 population, reflecting the clinical context in 2001, the rates of MRI and/or CT scan were 20%.17”
From Use of an implantable loop recorder to increase the diagnostic yield in unexplained syncope: results from the PICTURE registry (2011) · cites this paper as [17]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Quality of life of people with epilepsy: a European study
Baker, G. A., Jacoby, A., Buck, D., Stalgis, C., & Monnet, D. (1997) · Epilepsia · doi:10.1111/j.1528-1157.1997.tb01128.x · Cited by 847
Syncope: a videometric analysis of 56 episodes of transient cerebral hypoxia.
Lempert, T., Bauer, M., & Schmidt, D. (1994) · Annals of Neurology · doi:10.1002/ana.410360217 · Cited by 452
The misdiagnosis of epilepsy and the management of refractory epilepsy in a specialist clinic
Smith, D. F. (1999) · QJM · doi:10.1093/qjmed/92.1.15 · Cited by 448
ACUTE ARREST OF CEREBRAL CIRCULATION IN MAN
Kabat, H. (1943) · Archives of Neurology And Psychiatry · doi:10.1001/archneurpsyc.1943.02290230022002 · Cited by 371
Raviele, A., GASPARINI, G., Pede, F. D., Delise, P., Bonso, A., & Piccolo, E. (1990) · The American Journal of Cardiology · doi:10.1016/0002-9149(90)91321-v · Cited by 266
Diagnostic efficacy of 24-hour electrocardiographic monitoring for syncope
Gibson, T. C., & Heitzman, M. (1984) · The American Journal of Cardiology · doi:10.1016/0002-9149(84)90628-3 · Cited by 224
The misdiagnosis of epilepsy: findings of a population study
Scheepers, B. D. M., Clough, P. W. L., & Pickles, C. (1998) · Seizure · doi:10.1016/s1059-1311(05)80010-x · Cited by 220
The etiology of syncope in patients with negative tilt table and electrophysiological testing
Krahn, A. D., Klein, G. J., Norris, C., & Yee, R. (1995) · Circulation · doi:10.1161/01.cir.92.7.1819 · Cited by 215
King, D. W., Gallagher, B. B., Murvin, A. J., Smith, D. B., Marcus, D. J., Hartlage, L. C., & Ward, L. C. (1982) · Neurology · doi:10.1212/wnl.32.1.18 · Cited by 205
Use of ambulatory electrocardiographic (Holter) monitoring
DiMarco, J. P., & Philbrick, J. T. (1990) · Annals of Internal Medicine · doi:10.7326/0003-4819-113-1-53 · Cited by 177
Research works printed but not linked: 3
- Gastaut H. Syncopes: generalized anoxic cerebral seizures. In: Magnus O, Lorentz de Haas AM, editors. The Epilepsies. New York: Elsevier, 1974:815–35.
- Fitzpatrick, 1991, Blood pressure and heart rate during positive and negative 60° head-up tilt testing, Eur J Card Pac Electrophysiol, 1, 25
- Silvani S, Ciucci G, Verita E, et al. Correlation between positivity type of tilt test and simultaneous EEG: preliminary results (abstr). Proceedings of the VII International Symposium on Progress in Clinical Pacing 1998;48.
Cited by
Sorted by citations
Items 101–200 of 421
John, S., Regeti, K., Mallappallil, M. C., Kassotis, J., Islam, H., Zafar, S., Khan, R., Ibrahim, H., Kanta, R., Sen, S., et al. (2016) · Journal of Clinical Medicine Research · doi:10.14740/jocmr2583w · Cited by 30
Zou, R., Wang, S., Zhu, L., Wu, L., Lin, P., Li, F., Xie, Z., Li, X., & Wang, C. (2016) · Neurological Sciences · doi:10.1007/s10072-016-2740-5 · Cited by 30
Convulsive syncope: a condition to be differentiated from epilepsy
Özkara, Ç., Metin, B., & Küçükoğlu, S. (2009) · Epileptic Disorders · doi:10.1684/epd.2009.0281 · Cited by 30
Blanc, J.-J. (2013) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2012.11.002 · Cited by 29
Kouakam, C., Daems‐Monpeurt, C., Guédon-Moreau, L., Delval, A., Lacroix, D., Derambure, P., & Kacet, S. (2009) · Archives of cardiovascular diseases · doi:10.1016/j.acvd.2009.02.014 · Cited by 30
Epilepsy and Cardiac Arrhythmias
Ha, F. J., Chong, T., Cook, M. J., & Paratz, E. D. (2024) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2024.09.034 · Cited by 26
Serum Levels of Cardiac Troponin I in Patients with Uncomplicated Epileptic Seizure
Hajsadeghi, S., Afsharian, S., Fereshtehnejad, S., Keramati, M. R., & Mollahoseini, R. (2008) · Archives of Medical Research · doi:10.1016/j.arcmed.2008.10.002 · Cited by 26
When to suspect child maltreatment: summary of NICE guidance
Saperia, J., Lakhanpaul, M., Kemp, A., Glaser, D., & on behalf of the Guideline Development Group and Technical Team. (2009) · BMJ · doi:10.1136/bmj.b2689 · Cited by 26
Smith, P. E. M. (2001) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.70.suppl_2.ii9 · Cited by 26
Ungar, A., Ceccofiglio, A., Pescini, F., Mussi, C., Tava, G., Rafanelli, M., Langellotto, A., Marchionni, N., van Dijk, J. G., Galizia, G., et al. (2017) · BMC Neurology · doi:10.1186/s12883-017-0822-5 · Cited by 25
Idiopathic generalized tonic–clonic seizures limited to exercise in a young adult
Werz, M. A. (2004) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2004.11.008 · Cited by 25
The use of monitoring strategies in patients with unexplained syncope
Krahn, A. D., Klein, G. J., Yee, R. K., & Skanes, A. C. (2004) · Clinical Autonomic Research · doi:10.1007/s10286-004-1008-y · Cited by 25
Paling, D., Vilches-Moraga, A., Akram, Q., Atkinson, O., Staniland, J., & Paredes-Galán, E. (2011) · Aging Clinical and Experimental Research · doi:10.1007/bf03324968 · Cited by 24
Syncope in adults: Systematic review and proposal of a diagnostic and therapeutic algorithm
Rosanio, S., Schwarz, E. R., Ware, D. L., & Vitarelli, A. (2011) · International Journal of Cardiology · doi:10.1016/j.ijcard.2011.11.021 · Cited by 25
Seizure-Like Activities during Head-Up Tilt Test-Induced Syncope
Song, P. S., Kim, J. S., Park, J., Yim, H. R., Huh, J., Kim, J. H., & On, Y. K. (2009) · Yonsei Medical Journal · doi:10.3349/ymj.2010.51.1.77 · Cited by 24
Vitale, E., Ungar, A., Maggi, R., Francese, M., Lunati, M., Colaceci, R., Rosso, A. D., Castro, A., Santini, M., Giuli, S., et al. (2010) · EP Europace · doi:10.1093/europace/euq302 · Cited by 24
Mapping of Neuro-Cardiac Electrophysiology: Interlinking Epilepsy and Arrhythmia
Senapati, S. G., Bhanushali, A. K., Lahori, S., Naagendran, M. S., Sriram, S. A., Ganguly, A., Pusa, M., Damani, D. N., Kulkarni, K., & Arunachalam, S. P. (2023) · Journal of Cardiovascular Development and Disease · doi:10.3390/jcdd10100433 · Cited by 23
Yılmaz, S., Gökben, S., Levent, E., Serdaroğlu, G., & Özyürek, R. (2012) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2012.02.006 · Cited by 23
Artifact Mimicking Ictal Epileptiform Activity in EEG
McKay, J. H., & Tatum, W. O. (2019) · Journal of Clinical Neurophysiology · doi:10.1097/wnp.0000000000000597 · Cited by 23
Syncope in the Emergency Department: A Practical Approach
Furlan, L., Jacobitti, G., Gianni, F., Solbiati, M., Mancusi, C., & Costantino, G. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13113231 · Cited by 22
Koliqi, R., Polidori, C., & Islami, H. (2015) · Materia Socio Medica · doi:10.5455/msm.2015.27.167-171 · Cited by 22
Is it possible to accurately differentiate neurocardiogenic syncope from epilepsy?
Duplyakov, D. V., Golovina, G., Garkina, S. V., & Lyukshina, N. (2010) · PubMed · Cited by 22
Bo, I., Carano, N., Agnetti, A., Tchana, B., Allegri, V., Sommi, M., & Squarcia, U. (2009) · PubMed · Cited by 22
Syncope and orthostatic intolerance
Weimer, L. H., & Williams, O. A. (2003) · Medical Clinics of North America · doi:10.1016/s0025-7125(03)00007-5 · Cited by 22
Pediatric Syncope: Cases from the Emergency Department
Fischer, J. W. J., & Cho, C. S. (2010) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2010.03.009 · Cited by 22
Syncope: Overview and Approach to Management
Olshansky, B. (2005) · Wiley eBooks · doi:10.1002/9780470994801.ch1 · Cited by 22
2020 Clinical practice guidelines for Bradyarrhythmias and conduction disorders
Revishvili, A. S., Artyukhina, Е. А., Глезер, М. Г., Базаев, В. А., Batalov, R. E., Bokeria, L. A., Bokeria, O. L., Davtyan, K. V., Ivanitsky, E. A., Ковалев, А. С., et al. (2021) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2021-4448 · Cited by 28
Do older adults have equitable access to specialist epilepsy services?
Reuber, M., Torane, P., & Mack, C. (2010) · Epilepsia · doi:10.1111/j.1528-1167.2010.02661.x · Cited by 21
Brain cell-specific origin of circulating microRNA biomarkers in experimental temporal lobe epilepsy
Brindley, E., Heiland, M., Mooney, C., Diviney, M., Mamad, O., Hill, T. D. M., Yan, Y., Venø, M. T., Reschke, C. R., Batool, A., et al. (2023) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2023.1230942 · Cited by 21
Psychogenic Explanations of Physical Illness
Wilshire, C. E., & Ward, T. J. (2016) · Perspectives on Psychological Science · doi:10.1177/1745691616645540 · Cited by 20
Gooshe, M., Tabaeizadeh, M., Aleyasin, A. R., Payam, M., Ghasemi, K., Yousefi, F., Vafaei, A., Amini-Khoei, H., Amiri, S., & Dehpour, A. R. (2016) · Life Sciences · doi:10.1016/j.lfs.2016.11.006 · Cited by 20
Paisey, J. R., Yue, A. M., Treacher, K., Roberts, P. R., & Morgan, J. M. (2005) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.06.020 · Cited by 19
Cardiac Monitoring in Patients with Syncope: Making that Elusive Diagnosis
Subbiah, R. N., Chia, P., Gula, L. J., Klein, G. J., Skanes, A. C., Yee, R., & Krahn, A. D. (2014) · Current Cardiology Reviews · doi:10.2174/1573403x10666140214120056 · Cited by 18
Sivathamboo, S., Liu, Z., Sutherland, F., Minato, E., Casillas-Espinosa, P. M., Jones, N. C., Todaro, M., Seneviratne, U. K., Cahill, V., Yerra, R., et al. (2022) · Neurology · doi:10.1212/wnl.0000000000200173 · Cited by 19
Syncope: Review of Monitoring Modalities
Krahn, A. D., Subbiah, R. N., Gula, L. J., Klein, G. J., Skanes, A. C., & Yee, R. K. (2008) · Current Cardiology Reviews · doi:10.2174/157340308783565447 · Cited by 20
Kanjwal, K., Kanjwal, Y., Karabin, B. L., & Grubb, B. P. (2009) · International Journal of Medical Sciences · doi:10.7150/ijms.6.106 · Cited by 19
Diagnostic Role of ECG Recording Simultaneously With EEG Testing
Kendırlı, M. T., Aparcı, M., Kendirli, N., Tekelı, H., Karaoğlan, M., Şenol, M. G., & Toğrol, E. (2014) · Clinical EEG and Neuroscience · doi:10.1177/1550059414551554 · Cited by 19
The Drosophila ERG channel seizure plays a role in the neuronal homeostatic stress response
Hill, A. S., Jain, P., Folan, N. E., & Ben‐Shahar, Y. (2019) · PLoS Genetics · doi:10.1371/journal.pgen.1008288 · Cited by 17
Familial Vasovagal Syncope Associated With Migraine
Daas, A., Mimouni-Bloch, A., Rosenthal, S., & Shuper, A. (2008) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2008.09.003 · Cited by 19
Gourishankar, A., Belton, M. D., Hashmi, S. S., Butler, I. J., Lankford, J. E., & Numan, M. T. (2019) · Pediatrics & Neonatology · doi:10.1016/j.pedneo.2019.06.012 · Cited by 18
Emerging Role of Digital Technology and Remote Monitoring in the Care of Cardiac Patients
Banchs, J. E., & Scher, D. M. (2015) · Medical Clinics of North America · doi:10.1016/j.mcna.2015.02.013 · Cited by 19
Ictal bradycardia and asystole: An uncommon cause of syncope
Nový, J., Carruzzo, A., Pascale, P., Maeder‐Ingvar, M., Genné, D., Pruvot, E. J., Despland, P., & Rossetti, A. O. (2008) · International Journal of Cardiology · doi:10.1016/j.ijcard.2007.11.038 · Cited by 18
Correlation between seizure in children and prolonged QT interval.
Sadrnia, S., Yousefi, P., & Jalali, L. (2013) · Europe PMC (PubMed Central) · Cited by 18
Prevalence of epilepsy in 74,949 school children in Khartoum State, Sudan
Mohamed, I. N., Elseed, M. A., Hamed, A. A., Abdel‐Rahman, M. E., El-Sadig, S., Omer, I. M., Osman, A. H. M., Ahmed, A. E., Karrar, Z. A., & Salih, M. A. M. (2017) · Paediatrics and International Child Health · doi:10.1080/20469047.2016.1278110 · Cited by 18
Is the first seizure truly epileptic?
Perrig, S. H., & Jallon, P. (2008) · Epilepsia · doi:10.1111/j.1528-1167.2008.01442.x · Cited by 18
Sabri, M. R., Mahmodian, T., & Sadri, H. (2006) · Pediatric Cardiology · doi:10.1007/s00246-006-1140-7 · Cited by 18
Costs and utility of tests in the evaluation of the pediatric patients with syncope
Steinberg, L. A., & Knilans, T. K. (2001) · Progress in Pediatric Cardiology · doi:10.1016/s1058-9813(01)00097-2 · Cited by 16
Seizure or convulsive syncope during 1-Hz rTMS?
Epstein, C. M. (2006) · Clinical Neurophysiology · doi:10.1016/j.clinph.2006.07.262 · Cited by 18
The usefulness of the head-up tilt test in patients with suspected epilepsy
Rangel, I., Freitas, J. P., Correia, A. S., Sousa, A., Lebreiro, A., Sousa, C., Maciel, M. J., & Azevedo, E. I. (2014) · Seizure · doi:10.1016/j.seizure.2014.02.004 · Cited by 17
Brandt, C., Kramme, C., Storm, H., & Pohlmann‐Eden, B. (2009) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2009.02.047 · Cited by 17
Grubb, B. P. (2005) · Wiley eBooks · doi:10.1002/9780470994801.ch2 · Cited by 17
Prognostic impact of misdiagnosis of cardiac channelopathies as epilepsy
Ramos‐Maqueda, J., Bermúdez-Jiménez, F. J., Ruiz, R. M., Cabrera‐Ramos, M., Lerma, M. J. M., Sánchez-Millán, P. J., López, M. Á., Tercedor, L., & Jiménez‐Jáimez, J. (2020) · PLoS ONE · doi:10.1371/journal.pone.0231442 · Cited by 16
Tilt-table test: its role in modern practice
Sandhu, K. S., Khan, P., Panting, J., & Nadar, S. K. (2013) · Clinical Medicine · doi:10.7861/clinmedicine.13-3-227 · Cited by 16
Profile of Epilepsy in a Regional Hospital in Al Qassim , Saudi Arabia
Hamdy, N. A., Alamgir, M. J., Mohammad, E. G. E., Khedr, M., & Fazili, S. (2014) · International Journal of Health Sciences · doi:10.12816/0023977 · Cited by 16
LaRoche, S. M., Taylor, D., & Walter, P. F. (2011) · Clinical EEG and Neuroscience · doi:10.1177/155005941104200311 · Cited by 16
Neurological Aspects of Syncope and Orthostatic Intolerance
Weimer, L. H., & Zadeh, P. (2009) · Medical Clinics of North America · doi:10.1016/j.mcna.2008.10.002 · Cited by 16
Implantable loop recorders: a viable diagnostic tool in veterinary medicine
James, R., Summerfield, N., Loureiro, J., Swift, S., & Dukes‐McEwan, J. (2008) · Journal of Small Animal Practice · doi:10.1111/j.1748-5827.2008.00593.x · Cited by 16
DIFFERENTIAL DIAGNOSIS OF EPILEPSY
Benbadis, S. R. (2007) · CONTINUUM Lifelong Learning in Neurology · doi:10.1212/01.con.0000284534.43272.1c · Cited by 16
A New Approach to Rare Diseases of Children: The Undiagnosed Diseases Network
Reuter, C. M., Brimble, E., DeFilippo, C., Dries, A. M., Enns, G. M., Ashley, E. A., Bernstein, J. A., Fisher, P. G., & Wheeler, M. T. (2018) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2017.12.029 · Cited by 15
Elevations of troponin in patients with epileptic seizures? What do they mean?
Parvulescu‐Codrea, S., Britton, J. W., Bruce, C. J., Cascino, G. D., & Jaffe, A. S. (2006) · Clinical Cardiology · doi:10.1002/clc.4960290713 · Cited by 15
Convulsive Syncope: An Unusual Complication of Acupuncture Treatment in Older Patients
Kung, Y., Chen, F.-P., Hwang, S., Hsieh, J., & Lin, Y. (2005) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2005.11.535 · Cited by 15
Murasaka, K., Takada, K., Yamashita, A., Ushimoto, T., Wato, Y., & Inaba, H. (2021) · Resuscitation Plus · doi:10.1016/j.resplu.2021.100168 · Cited by 14
Corsi, M., Lopez, E. T., Sorrentino, P., Cuozzo, S., Danieli, A., Bonanni, P., & Duma, G. M. (2024) · Scientific Reports · doi:10.1038/s41598-024-64870-3 · Cited by 14
Psychogenic Syncope? A Cautionary Note
Kanjwal, K., Kanjwal, Y., Karabin, B. L., & Grubb, B. P. (2009) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2009.02400.x · Cited by 14
Shakya, K., Shrestha, R., & Mr, B. (2003) · PubMed · Cited by 14
Bases epistemológicas del debate sobre el sexismo linguístico
Guerrero, M. M. (2016) · Arbor · doi:10.3989/arbor.2016.778n2010 · Cited by 14
Seizure-like activities in patients with head-up tilt test-induced syncope
Joo, B.-E., Koo, D., Yim, H., Park, J., Seo, D., & Kim, J. (2018) · Medicine · doi:10.1097/md.0000000000013602 · Cited by 13
Long-term Home Video EEG for Recording Clinical Events
Omidi, S. J., Hampson, J. P., & Lhatoo, S. D. (2020) · Journal of Clinical Neurophysiology · doi:10.1097/wnp.0000000000000746 · Cited by 14
Unrecognized paroxysmal ventricular standstill masquerading as epilepsy: a Stokes‐Adams attack
You, C.-F., Chong, C., Wang, T., Hung, T., & Chen, C. (2007) · Epileptic Disorders · doi:10.1684/epd.2007.0105 · Cited by 14
Pitfalls in scalp EEG: Current obstacles and future directions
Greenblatt, A., Beniczky, S., & Nascimento, F. A. (2023) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2023.109500 · Cited by 13
The adolescent or adult with generalized tonic-clonic seizures
Gursahani, R., & Gupta, N. (2012) · Annals of Indian Academy of Neurology · doi:10.4103/0972-2327.94988 · Cited by 13
Are Psychogenic Non-epileptic Seizures an Expression of “Neurologic” Pathology?
Reuber, M. (2008) · Elsevier eBooks · doi:10.1016/b978-0-12-374006-9.00011-4 · Cited by 13
Shanmugam, N., & Liew, R. (2012) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v41n3p115 · Cited by 13
Ninni, S., Kouakam, C., Szurhaj, W., Baille, G., Klug, D., Lacroix, D., & Derambure, P. (2018) · Archives of cardiovascular diseases · doi:10.1016/j.acvd.2018.08.004 · Cited by 13
Investigating syncope: a review
Gould, P. A., Krahn, A. D., Klein, G. J., Yee, R. K., Skanes, A. C., & Gula, L. J. (2005) · Current Opinion in Internal Medicine · doi:10.1097/01.hco.0000198986.16626.86 · Cited by 14
Edwardson, M. A., Fetz, E. E., & Avery, D. (2011) · Clinical Neurophysiology · doi:10.1016/j.clinph.2011.04.005 · Cited by 13
The brain-heart connection: Value of concurrent ECG and EEG recordings in epilepsy management
Slater, J. D., Benbadis, S. R., & Verrier, R. L. (2024) · Epilepsy & Behavior Reports · doi:10.1016/j.ebr.2024.100726 · Cited by 12
Serum cardiac troponin I in canine syncope and seizures
Dutton, E., Dukes‐McEwan, J., & Cripps, P. (2016) · Journal of Veterinary Cardiology · doi:10.1016/j.jvc.2016.10.001 · Cited by 12
Zou, R., Wang, S., Wen, W., Cai, H., Wang, Y., Liu, P., Li, F., Lin, P., & Wang, C. (2022) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2022.916542 · Cited by 12
Middleton, O. L., Atherton, D. S., Bundock, E. A., Donner, E. J., Friedman, D. J., Hesdorffer, D. C., Jarrell, H. S., McCrillis, A. M., Mena, O. J., Morey, M., et al. (2018) · Academic Forensic Pathology · doi:10.23907/2018.009 · Cited by 12
Electronic Medical Devices; A Primer for Pathologists
Weitzman, J. B. (2003) · Archives of Pathology & Laboratory Medicine · doi:10.5858/2003-127-814-emd · Cited by 12
Optimizing Antiepileptic Drug Therapy in the Elderly
Garnett, W. R. (2005) · Annals of Pharmacotherapy · doi:10.1345/aph.1e683 · Cited by 12
Mehrpour, M., Hajsadeghi, S., Fereshtehnejad, S., Mehrpour, M., & Bassir, P. (2013) · Archives of Medical Research · doi:10.1016/j.arcmed.2013.09.005 · Cited by 11
Evaluation of the "non-epileptic" patient in a tertiary center epilepsy clinic
Pana, R., Labbe, A., Dubeau, F., & Kobayashi, E. (2017) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2017.11.001 · Cited by 11
The management of syncope in older adults.
Ungar, A., Morrione, A., Rafanelli, M., Ruffolo, E., Brunetti, M. A., Chisciotti, V. M., Masotti, G., Rosso, A. D., & Marchionni, N. (2009) · PubMed · Cited by 11
de Cardiología, G. D. T. D. L. S. E. (2005) · Revista Española de Cardiología · doi:10.1157/13071892 · Cited by 11
Síncope convulsivo: características y reproducibilidad mediante la prueba de la cama basculante
Sanmartín, M. F., Rodríguez‐Núñez, A., Martinón‐Torres, F., Puñal, J. M. E., & Sánchez, J. M. M. (2003) · Anales de Pediatría · doi:10.1016/s1695-4033(03)78758-x · Cited by 11
Febrile seizures prior to sudden cardiac death: a Danish nationwide study
Stampe, N. K., Glinge, C., Jabbari, R., Bjune, T., Risgaard, B., Tfelt‐Hansen, J., & Winkel, B. G. (2017) · EP Europace · doi:10.1093/europace/eux335 · Cited by 11
Tilt table testing in patients with suspected epilepsy
Edfors, R., Erdal, J., & Rogvi-Hansen, B. Á. (2008) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.2007.00954.x · Cited by 11
Gigli, L., Sala, S., Preda, A., Okubo, K., Peretto, G., Frontera, A., Varrenti, M., Baroni, M., Carbonaro, M., Vargiu, S., et al. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12124098 · Cited by 10
Mayor, L. C., Lemus, H. N., Burneo, J. G., Palacio, A. C., & Linares, S. (2015) · Epileptic Disorders · doi:10.1684/epd.2015.0747 · Cited by 10
Managing the military patient with syncope
Parsons, I., Cox, A., Mollan, I. A., & Boos, C. J. (2015) · Journal of the Royal Army Medical Corps · doi:10.1136/jramc-2015-000493 · Cited by 10
Benign Recurrent Intrahepatic Cholestasis in a Young Adult
Kumar, P. (2016) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2016/18917.7924 · Cited by 10
Seizure Triggered by Sick Sinus Syndrome
Patel, N. U., Majeed, F., & Sule, A. A. (2017) · BMJ Case Reports · doi:10.1136/bcr-2017-222011 · Cited by 10
Chadwick, D. W., Jelen, P., & Almond, S. (2010) · Practical Neurology · doi:10.1136/jnnp.2010.211672 · Cited by 10
Odiete, O., Ramanna, N., Lawson, M. A., & Okafor, H. E. (2012) · Case Reports in Cardiology · doi:10.1155/2012/924865 · Cited by 10
The Implantable Loop Recorder: Current Uses, Future Directions
Kanjwal, K., Figueredo, V. M., Karabin, B. L., & Grubb, B. P. (2011) · Cited by 10
Epidemiology and Economic Impact of Cardiac Syncope in Western Countries
Sutton, R., & Benditt, D. G. (2012) · Future Cardiology · doi:10.2217/fca.12.17 · Cited by 10
Cortez, A., Ortiz, N., Argüellez, E., Molina, T., Serra, A., Torres, P. I., & Márquez, M. F. (2019) · Archives of Medical Science · doi:10.5114/aoms.2019.89691 · Cited by 9
Choi, Y. J., Han, M. Y., & Lee, E. H. (2020) · Pediatrics & Neonatology · doi:10.1016/j.pedneo.2020.06.006 · Cited by 9
Metadata
- Authors
- Zaidi, A., Clough, P., Cooper, P., Scheepers, B., & Fitzpatrick, A. P.
- Affiliations
- Manchester Royal Infirmary (GB)
- Salford Royal Hospital (GB)
- Corresponding author
- Zaidi, Amir
- ORCID
- Cooper, Paul
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2000-07
- Volume
- 36
- Issue
- 1
- Pages
- 181-184
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2045800993
- Cited by
- 422
- References
- 33
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 14 · 2023: 12 · 2022: 12 · 2021: 12 · 2020: 14 · 2019: 23 · 2018: 19 · 2017: 18 · 2016: 24 · 2015: 22 · 2014: 22 · 2013: 20 · 2012: 13
- FWCI
- 9.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- epilepsy misdiagnosis, convulsive syncope, cardiovascular syncope, vasovagal syncope, drug-resistant epilepsy, head-up tilt, carotid sinus massage, implantable loop recorder, bradycardia, hypotension, psychogenic non-epileptic seizures, seizure-like events
- MeSH terms
- Adolescent, Adult, Aged, Blood Pressure, Diagnosis, Differential, Diagnostic Errors, Electroencephalography, Epilepsy, Female, Heart Rate, Humans, Male, Middle Aged, Seizures, Electrocardiography, Ambulatory, Blood Pressure Monitoring, Ambulatory, Tilt-Table Test, Syncope, Vasovagal
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
