Heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy (literature review)

Sudden unexpected death in epilepsy (SUDEP) is the most common cause of death in patients with epilepsy and occurs at least 20 times more often in patients with fore mentioned condition compared with healthy people. During epileptic seizures, a significant proportion of patients develop heart rate v...

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Main Authors: A. V. Monakhova, A. Yu. Yakshina, E. D. Belousova
Format: Article
Language:Russian
Published: ABV-press 2019-07-01
Series:Русский журнал детской неврологии
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Online Access:https://rjdn.abvpress.ru/jour/article/view/293
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author A. V. Monakhova
A. Yu. Yakshina
E. D. Belousova
author_facet A. V. Monakhova
A. Yu. Yakshina
E. D. Belousova
author_sort A. V. Monakhova
collection DOAJ
description Sudden unexpected death in epilepsy (SUDEP) is the most common cause of death in patients with epilepsy and occurs at least 20 times more often in patients with fore mentioned condition compared with healthy people. During epileptic seizures, a significant proportion of patients develop heart rate variability and respiratory depression. It is assumed that these cardiorespiratory complications are the most probable risk factor for the development of SUDEP. Asystole and ventricular fibrillation, developing immediately after the seizure, are the most significant arrhythmias in the pathophysiology of SUDEP. Discoordination of the autonomic nervous system activity in connection with the involvement of autonomous control centers in epileptic activity leads to the emerging cardiopulmonary pathology. In patients with long-term resistant epilepsy, chronic dysfunction of the autonomic nervous system is formed and, as a consequence, a greater predisposition to the disturbances of heart rhythm. A detailed study of cardiac disorders during epileptic seizures will provide the key for understanding the risks of developing SUDEP and developing some approaches to its prevention.
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series Русский журнал детской неврологии
spelling doaj-art-79f3e0c34c0f4f3ba68eaf58e2ee7f932025-08-04T14:12:12ZrusABV-pressРусский журнал детской неврологии2073-88032412-91782019-07-01142182210.17650/2073-8803-2019-14-2-18-22200Heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy (literature review)A. V. Monakhova0A. Yu. Yakshina1E. D. Belousova2N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaN.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaN.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaSudden unexpected death in epilepsy (SUDEP) is the most common cause of death in patients with epilepsy and occurs at least 20 times more often in patients with fore mentioned condition compared with healthy people. During epileptic seizures, a significant proportion of patients develop heart rate variability and respiratory depression. It is assumed that these cardiorespiratory complications are the most probable risk factor for the development of SUDEP. Asystole and ventricular fibrillation, developing immediately after the seizure, are the most significant arrhythmias in the pathophysiology of SUDEP. Discoordination of the autonomic nervous system activity in connection with the involvement of autonomous control centers in epileptic activity leads to the emerging cardiopulmonary pathology. In patients with long-term resistant epilepsy, chronic dysfunction of the autonomic nervous system is formed and, as a consequence, a greater predisposition to the disturbances of heart rhythm. A detailed study of cardiac disorders during epileptic seizures will provide the key for understanding the risks of developing SUDEP and developing some approaches to its prevention.https://rjdn.abvpress.ru/jour/article/view/293epilepsyheart rate variabilitysudden unexpected death in epilepsyepileptic seizure
spellingShingle A. V. Monakhova
A. Yu. Yakshina
E. D. Belousova
Heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy (literature review)
Русский журнал детской неврологии
epilepsy
heart rate variability
sudden unexpected death in epilepsy
epileptic seizure
title Heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy (literature review)
title_full Heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy (literature review)
title_fullStr Heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy (literature review)
title_full_unstemmed Heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy (literature review)
title_short Heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy (literature review)
title_sort heart rate variability during epileptic seizures as a factor in the development of sudden unexpected death in epilepsy literature review
topic epilepsy
heart rate variability
sudden unexpected death in epilepsy
epileptic seizure
url https://rjdn.abvpress.ru/jour/article/view/293
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AT ayuyakshina heartratevariabilityduringepilepticseizuresasafactorinthedevelopmentofsuddenunexpecteddeathinepilepsyliteraturereview
AT edbelousova heartratevariabilityduringepilepticseizuresasafactorinthedevelopmentofsuddenunexpecteddeathinepilepsyliteraturereview