(NEW) Electrocardiographic Changes In Children With Idiopathic Epilepsy And Epilepsy Secondary To Structural Brain Lesions

Document Type : Original Article

Authors

1 Department of Pediatrics, El-Minia Faculty of Medicine

2 Pediatrics department, Faculty of medicine ,Minia university

3 Professor of pediatrics, Faculty of medicine, Minia University

4 pediatric department, faculty of medicine ,Minia university

Abstract

Background: Epileptic seizures associated with several changes in autonomic functions, which may lead to cardiovascular, respiratory, gastrointestinal, and urinary or sexual manifestations during or soon after the ictal event. This study aimed to assess Electrocardiographic (ECG) changes after an epileptic seizure in children with idiopathic epilepsy and epilepsy secondary to structural brain lesions (SBL).

Subject and Methods: This was a case control study, it was conducted on epileptic children admitted to Pediatric Inpatient Department of Minia University Hospital for Obstetrics & Gynecology and Pediatrics. This studied included 60 epileptic children and 30 healthy children as controls. They were divided into three groups, group I: idiopathic epileptic children, group II: epileptic children secondary to structural brain lesions and group III: healthy children.CBC, LFT, electrolytes (Na, K, Ca), ECG, EEG were done for all patients.

Results: In this study there were no significant difference in the ECG rhythm, ST segment, T wave, QRS complex among all the studiedgroups.On the other hand there was a significant higher heart rate in group I (idiopathic epilepsy) and group II (epilepsy secondary to SBL) than group III (healthy controls).Conclusion: idiopathic epilepsy and epilepsy secondary due to SBL can cause myocardial strain and significant tachcardia

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 17 August 2023

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