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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Increased Heart Rate And Temporary Loss Of Consciousness

Hello dr , My daughter will have increased heart beat and while any activity and goes to unaware of the surrounding and tend to stand up and walk without awreness and won t respond or hear anything for 1-2 min and unable to remember what happened and feeling tired after that. Past 2yeaars they said it anxiety.. But showing the video the doctor fevered to EEG. And referred for further MRi and the report suggest focal seizure. Can you please advice what will be treatment plan
Tue, 7 Nov 2017
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

I passed carefully through your question and would explain that her symptoms seem to be related to focal seizures or absence.

The treatment for the seizure control are antiepileptic drugs. The choice of antiepileptic drug depends on her age and other comorbidities.

For focal seizures, I would recommend levetiracetam or lamotrigine, considering that she is a young girl.

Other treatment options would be carbamazepine and topiramate.

I would like to know her brain MRI results. Usually focal seizures are associated to an abnormal MRI. In such case brain surgery may be needed.

You should discuss with her doctor on the above issues.

Kind regards,

Dr. Iliri
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Suggest Treatment For Increased Heart Rate And Temporary Loss Of Consciousness

Hello! Welcome and thank you for asking on HCM! I passed carefully through your question and would explain that her symptoms seem to be related to focal seizures or absence. The treatment for the seizure control are antiepileptic drugs. The choice of antiepileptic drug depends on her age and other comorbidities. For focal seizures, I would recommend levetiracetam or lamotrigine, considering that she is a young girl. Other treatment options would be carbamazepine and topiramate. I would like to know her brain MRI results. Usually focal seizures are associated to an abnormal MRI. In such case brain surgery may be needed. You should discuss with her doctor on the above issues. Kind regards, Dr. Iliri