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Baylor University Medical Center Proceedings
The peer-reviewed journal of Baylor Scott & White Health
Volume 32, 2019 - Issue 2
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Case Studies

Leadless solution for arrhythmia-related sudden unexpected death in epilepsy

Krittapoom AkrawinthawongDivision of Cardiovascular Medicine and Surgery, The Center for Comprehensive Cardiovascular Care (C4), St. Louis University Hospital and School of Medicine, St. Louis, MissouriCorrespondence[email protected]
, MD, MSc,
Sasan R. RaissiDivision of Cardiovascular Medicine and Surgery, The Center for Comprehensive Cardiovascular Care (C4), St. Louis University Hospital and School of Medicine, St. Louis, Missouri
, MD,
Rahil RafeedheenDivision of Cardiovascular Medicine and Surgery, The Center for Comprehensive Cardiovascular Care (C4), St. Louis University Hospital and School of Medicine, St. Louis, Missouri
, MD,
Michael J. LimDivision of Cardiovascular Medicine and Surgery, The Center for Comprehensive Cardiovascular Care (C4), St. Louis University Hospital and School of Medicine, St. Louis, Missouri
, MD &
Ali Akbar MehdiradDivision of Cardiovascular Medicine and Surgery, The Center for Comprehensive Cardiovascular Care (C4), St. Louis University Hospital and School of Medicine, St. Louis, Missouri
, MD
Pages 251-252 | Received 03 Oct 2018, Accepted 15 Nov 2018, Published online: 20 Mar 2019
 
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Abstract

A leadless pacemaker is a recently approved pacing technology that helps mitigate lead-related complications, but it has several limitations. Careful candidate selection is needed. Here, we demonstrate leadless pacing as the solution for prolonged postictal bradycardia/asystole; there is no consensus regarding pacemaker implantation for seizure patients with such a risk of sudden cardiac death.

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