Cited by 72Epilepsy research and treatmentCardiac electrophysiology and arrhythmiasCardiac Arrest and Resuscitation

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Sudden cardiac arrest in people with epilepsy in the community: Circumstances and risk factors

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Abstract

OBJECTIVE: To ascertain whether characteristics of ventricular tachycardia/fibrillation (VT/VF) differed between people with epilepsy and those without and which individuals with epilepsy were at highest risk. METHODS: We ascertained 18 people with active epilepsy identified in a community-based registry of sudden cardiac arrest (SCA) with ECG-confirmed VT/VF (cases). We compared them with 470 individuals with VT/VF without epilepsy (VT/VF controls) and 54 individuals with epilepsy without VT/VF (epilepsy controls). Data on comorbidity, epilepsy severity, and medication use were collected and entered into (conditional) logistic regression models to identify determinants of VT/VF in epilepsy. RESULTS: In most cases, there was an obvious (10/18) or presumed cardiovascular cause (5/18) in view of preexisting heart disease. In 2 of the 3 remaining events, near-sudden unexpected death in epilepsy (SUDEP) was established after successful resuscitation. Cases had a higher prevalence of congenital/inherited heart disease (17% vs 1%, p = 0.002), and experienced VT/VF at younger age (57 vs 64 years, p = 0.023) than VT/VF controls. VT/VF in cases occurred more frequently at/near home (89% vs 58%, p = 0.009), and was less frequently witnessed (72% vs 89%, p = 0.048) than in VT/VF controls. Cases more frequently had clinically relevant heart disease (50% vs 15%, p = 0.005) and intellectual disability (28% vs 1%, p < 0.001) than epilepsy controls. CONCLUSION: Cardiovascular disease rather than epilepsy characteristics is the main determinant of VT/VF in people with epilepsy in the community. SCA and SUDEP are partially overlapping disease entities.

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Metadata

Authors
Lamberts, R. J., Blom, M. T., Wassenaar, M., Bardai, A., Leijten, F. S., de Haan, G.-J., Sander, J. W., Thijs, R. D., & Tan, H. L.
Affiliations
  • Leiden University Medical Center (NL)
  • From the Stichting Epilepsie Instellingen Nederland (SEIN) (R.J.L., M.W., G.-J.d.H., J.W.S., R.D.T.), Heemstede; Academic Medical Center (M.T.B., A.B., H.L.T.), Amsterdam; University Medical Center Utrecht (M.W., F.S.L.), Netherlands; NIHR University College London Hospitals Biomedical Research Centre (J.W.S., R.D.T.), UCL Institute of Neurology, Queen Square, London; Epilepsy Society (J.W.S., R.D.T.), Chalfont St Peter, UK; and LUMC Leiden University Medical Center (R.D.T.), Leiden, Netherlands.
Venue
Neurology
Published
2015-07-21
Volume
85
Issue
3
Pages
212-218
ISSN
  • 0028-3878 (ISSN-L)
  • 1526-632X
OpenAlex
W2123562461
Cited by
72
References
35
Citations by year
2026: 1 · 2025: 8 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 9 · 2019: 9 · 2018: 8 · 2017: 4 · 2016: 9 · 2015: 5
FWCI
7.03
Type
journal article
Language
en
Open access
Locations
  • Neurology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Leiden Repository (Leiden University) (submittedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion)
Funders
Nederlandse Organisatie voor Wetenschappelijk Onderzoek (918-86-616)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
  • Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
Keywords
sudden cardiac arrest, epilepsy, ventricular tachycardia, ventricular fibrillation, sudden unexpected death in epilepsy, congenital heart disease, inherited heart disease, cardiovascular comorbidity, intellectual disability, risk factors, community-based registry
MeSH terms
Adult, Aged, Aged, 80 and over, Cardiovascular Diseases, Cross-Sectional Studies, Epilepsy, Female, Humans, Male, Middle Aged, Prospective Studies, Registries, Residence Characteristics, Risk Factors, Case-Control Studies, Death, Sudden, Cardiac, Young Adult

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