Post-Ictal Transient Atrial Fibrillation As A Rare Manifestation Of Grand Mal Seizure.

Title

Post-Ictal Transient Atrial Fibrillation As A Rare Manifestation Of Grand Mal Seizure.

Creator

Dangol Gulshan Man Singh; Hoffman David A

Publisher

Journal of atrial fibrillation

Date

2017
2017-09

Description

Atrial fibrillation (AF) most frequently occurs as a consequence of multiple etiologies including valvular disease, coronary artery disease, hyperthyroidism, alcohol ingestion, and pulmonary embolism. However, on rare occasion transient AF may be a result of generalized tonic-clonic seizures (GTCS). A 33-year-old-man presented to the emergency department following GTCS in AF with rapid ventricular response. He had no previous documented history. Diagnostic evaluation including electrolytes, thyroid function, cardiac enzymes, serum and urine drug screen, and two-dimensional echocardiogram were unremarkable. Diltiazem was initiated for rate control with spontaneous conversion to sinus rhythm with no recurrence. AF post-seizure is a rare phenomenon but should be considered in epileptic patients. Anticoagulation must be considered in AF due to the risk of cardioembolic stroke but should be weighed against the potential risk of head injury and subsequent intracranial bleed in patients with grand mal seizures.

Subject

Anticoagulation; Atrial fibrillation; Seizures

Identifier

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

1643–1643

Issue

2

Volume

10

Citation

Dangol Gulshan Man Singh; Hoffman David A, “Post-Ictal Transient Atrial Fibrillation As A Rare Manifestation Of Grand Mal Seizure.,” NEOMED Bibliography Database, accessed January 26, 2021, https://neomed.omeka.net/items/show/5201.

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