Syncope or Seizures: What Have We Learned from Electrocardiographic Monitoring?
Syncope is a symptom defined as “a transient, self-limited loss of consciousness, usually leading to falling” . The onset of syncope is relatively rapid, and the subsequent recovery is spontaneous, complete and usually prompt. The underlying mechanism is a transient global cerebral hypoperfusion. Seizure is, according to the same document, synonymous with an epileptic fit, and “...whatever its immediate or remote cause, an epileptic attack is the manifestation of a paroxysmal discharge of abnormal rhythms in some part of the brain” . In order to differentiate between the two, simultaneous electroen-cephalographic (EEG) and electrocardiographic (ECG) recording with multiple scalp and chest electrodes is required, a situation that is rarely fulfilled.
KeywordsSeizure Disorder Myoclonic Jerk Cardiac Conduction System Electrocardiographic Monitoring Epileptic Attack
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