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Table 4 Overview of patients with cTNI elevations (ng/ml). 4 were diagnosed with NSTEMI, 1 with NSTEMI as a prodrome to a STEMI 4 days later. The NSTEMI diagnosis was “formal” and used the definition of rising cTNI levels in follow up laboratory tests. No patient except the one with a STEMI reported chest pain

From: Laboratory markers of cardiac and metabolic complications after generalized tonic-clonic seizures

No

Sex*

Age*

Max. cTNI

Epilepsy Hx

Medical Hx

EKG

Cardiac Dx

Other complications

outcome

1

1

70–79

0.68

EZ: temporal

E: vascular

CNS-vasculitis, subdural hematoma, stroke, dementia, severe coronary artery disease with MI, stenting and aorto-coronary venous bypass, ICD, HTN, DM2, alcohol abuse

New AF

NSTEMI

No

Discharge home

2

1

80–89

0.14

EZ: unknown

E: TBI

TBI, AF, HTN, bedridden

AF

AF, no ischemia

Delirium

Discharge home

3

2

70–79

0.38

EZ: unknown

E: unknown

Hypothyroidism, Dyslipidemia

T-inversion

NSTEMI, received PTCA

Skull laceration

Discharge home

4

2

70–79

0.23

EZ: multifocal

E: unknown

HTN, ICH, vascular dementia

Normal

No ischemia

No

Discharge home

5

1

70–79

0.34- > 15.7

EZ: unknown

E: vascular

Stroke, PD, CHD with MI, polymyalgia, gastrointestinal bleeding

ST-depression, then elevation

NSTEMI as prodrome to STEMI 4 days later, received PTCA with DES

No

Transfer to cardiology, then home

6

2

50–59

3.85

EZ: unknown

E: unknown

Craniofacial dysostosis

Delayed R-progression

NSTEMI

No

Discharge home

7

2

70–79

1.35

EZ: unknown

E: TBI

TBI, stroke, coronary artery disease, NSTEMI

T-Inversion

NSTEMI

Sopor, intubation, skull laceration

Transfer to Geriatrics

8

2

70–79

0.12

EZ: unknown

E: vascular

Stroke, AF, urinary tract infection

AF

AF, no ischemia

Sopor, intubation

Transfer to Geriatrics, death within a month

9

2

40–49

0.09

EZ: temporal

E: unknown

Hypothyroidism

Normal

No ischemia

Facial bruising

Discharge home

  1. AF = atrial fibrillation; DES = drug eluding stent; DM2, diabetes mellitus type 2; EZ = epileptogenic zone; E: etiology; HTN, arterial hypertension; Hx = history; ICH, intracranial hemorrhage; NSTEMI = non ST elevation myocardial infarction; PTCA = percutaneous, transluminal coronary angiography; STEMI = ST elevation myocardial infarction; TBI = traumatic brain injury. *Sex is not indicated and age range (instead of age) is given to avoid potential identification of the patients (according to BMC policy)