This is an unusual case as literature search does not reveal any other case of such a prolonged post ictal atrial fibrillation. It is a main cause of stroke, especially among elderly people. Aggressive management with antiepileptic drugs to reduce seizures with cardiac arrhythmias may be crucial. Atrial fibrillation is a fast, irregular rhythm where single muscle fibers in your heart twitch or contract. Heart rate dependent changes in spectral analysis. Medline Google Scholar 14 Haaksma J, Brouwer J, Dijk WA, Mulder LJM, Crijns HJGM, Lie KI. Such problems, whether in the rhythm or speed of the heartbeat, are known as arrhythmias. Prediction of uneventful cardioversion and maintenance of sinus rhythm from direct-current electrical cardioversion of chronic atrial fibrillation and flutter. It would be interesting to see if such patients may benefit from further long-term cardiac monitoring and prophylaxis for embolism with anticoagulation or the Watchman device, even if the arrhythmias were only following a seizure. More Atrial flutter is a problem with the way your heart beats. This case raises the question of whether or not similar patients may be at risk for thromboembolic events. Of the 5 cases, the duration of the AF ranged from 10 seconds to 4 minutes 40 seconds, with an average of 1 minute 54 seconds. Conclusions: This case demonstrates a rare instance of post ictal AF sustained for 2 days. Of the 16 cases, 5 cases had VEEG confirmed seizures with post ictal AF. WebMD provides a comprehensive look at the causes, symptoms, diagnosis, and treatment of atrial flutter and atrial fibrillation. Among these articles, 16 cases reported post ictal atrial fibrillation or flutter. Atrial flutter is an abnormality in the beating of the heart. The nature of these cardiac arrhythmias was undiagnosed until VEEG.The results of the PubMed search yielded 480 articles. Prior to VEEG monitoring, the patient reported frequent chest palpitations lasting a day or more following seizure events. The atrial fibrillation began 2 seconds after electrographic seizure onset and only spontaneously converted back to sinus rhythm 2 days later. She experienced a VEEG captured seizure, associated with atrial fibrillation with rapid ventricular response. English articles published were analyzed to determine VEEG capture of the seizures and duration of post ictal atrial fibrillation. Results: The case discussed in this abstract is that of a 62-year-old female patient with past medical history significant for meningioma, which was resected in 2005 and Parkinson’s disease on Carbidopa-Levodopa, who had seizure onset at 51 years of age. PubMed was searched utilizing the phrases “epilepsy or seizure AND cardiac arrhythmias”, “seizure AND atrial fibrillation”, “post ictal atrial fibrillation”. In this case, we discuss a rare occurrence of prolonged atrial fibrillation (AF) following an ictal episode and analyze the duration of AF in Video Electroencephalogram (VEEG) confirmed seizure. Methods: Case report and literature review was performed. Rationale: It has long been known that there is an association between seizure episodes and cardiac arrhythmias, with the most common being ictal sinus tachycardia.
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