Background—Ictal asystole is a rare, serious, and often treatable cause of syncope. There
are currently limited data to guide management. Characterization of ictal syncope predictors
may aid in the selection of high-risk patients for treatments such as pacemakers. Methods
and Results—We searched our epilepsy monitoring unit database from October 2003 to July
2013 for all patients with ictal asystole events. Clinical, electroencephalogram, and ECG
data for each of their seizures were examined for their relationships with ictal syncope …

Background-Ictal asystole is a rare, serious, and often treatable cause of syncope. There are
currently limited data to guide management. Characterization of ictal syncope predictors
may aid in the selection of high-risk patients for treatments such as pacemakers. Methods
and Results-We searched our epilepsy monitoring unit database from October 2003 through
July 2013 for all patients with ictal asystole events. Clinical, EEG, and ECG data for each of
their seizures were examined for their relationships with ictal syncope events. In 10 patients …