Epileptic Heart

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Chronic epileptic episodes and the subsequent catecholamine surges and hypoxia events may affect the heart and coronary vessels and result in the dysfunction of the heart, this condition has known as the epileptic heart. This concept first described by Dr. Richard L. Verrier and his colleagues in 2020.

Historical Perspective

  • The epileptic heart was first discovered by Dr. Richard L. Verrier and his colleagues, in 2020.[1]

Pathophysiology

The exact mechanisms involved in the epileptic heart is still should be elucidated. However, the algorithm below provides beneficial information on the development of heart disease in the context of epilepsy.[2]

 
 
 
 
 
 
 
 
Epilepsy
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cardiac effects
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Repeated hypoxia and subsequent myocardial ischemia
 
 
 
 
 
 
 
 
 
 
 
Cathecholamines-induced cardiotoxicity
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Accelerated atherosclerosis
 
 
 
 
Myocardial stunning
 
 
 
 
Vacuolization of myocytes and fibrosis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Epileptic Heart

Instability in cardiac electrical system
T wave alternans
 
 
 
 
 
 
 

References

  1. Verrier, Richard L.; Pang, Trudy D.; Nearing, Bruce D.; Schachter, Steven C. (2020). "The Epileptic Heart: Concept and clinical evidence". Epilepsy & Behavior. 105: 106946. doi:10.1016/j.yebeh.2020.106946. ISSN 1525-5050.
  2. Verrier, Richard L.; Schachter, Steven C. (2018). "Is heart disease in chronic epilepsy a consequence of seizures or a fellow traveler?". Epilepsy & Behavior. 86: 211–213. doi:10.1016/j.yebeh.2018.06.027. ISSN 1525-5050.