Sara Mohamed Elzeiny*

Cardiologist at Nasser Institute for Research and Treatment, Cairo, Egypt

*Corresponding Author: Sara Mohamed Elzeiny, Cardiologist at Nasser Institute for Research and Treatment, Cairo, Egypt.

Received: June 21, 2023; Published: July 03, 2023

Abstract

Background: It is important in medical practice to be able to recognize and manage ventricular tachyarrhythmia, a significant cause of morbidity and mortality in acute coronary syndrome, and highly lethal arrhythmia.

Case Description: A case of ventricular fibrillation discovered by a seizure attack in a middle -aged man presented with chest pain with no past cardiac or neurological history. 1^st ECG appeared normal then got in a seizure attack and ECG changed to ventricular tachycardia and fibrillation on the monitor in a short time.

Conclusions: Patients with acute coronary syndrome who get in ventricular tachycardia or fibrillation episodes could be first represented by a seizure that may be considered a hazardous sign in neurologically-free patients. It is important to include ventricular tachycardia as a differential diagnosis of seizure in a patient with cardiovascular risks. The risk of cardiac death increased in patients with VT presented by a seizure compared to those without seizure or abnormal brain manifestations.

 Keywords: Acute Coronary Syndrome (ACS); Ventricular Tachycardia (VT)

Bibliography

1. G André Ng. “Neuro-cardiac interaction in malignant ventricular arrhythmia and sudden cardiac death”. Autonomic Neuroscience 199 (2016): 66-79.
2. Naranjan S Dhalla., et al. “Role of catecholamine oxidation in sudden cardiac death”. 24.5 (2010): 539-546.
3. Chin-Feng Tsai., et al. “Remodeled left ventricular myocardium remote to infarction sites is the arrhythmogenic substrate for sudden cardiac death”. Medical Hypotheses4 (2010): 368-371.
4. Sami Viskin., et al. “Polymorphic Ventricular Tachycardia: Terminology, Mechanism, Diagnosis, and Emergency Therapy”. Circulation 10 (2021): 823-839.
5. Soufian T AlMahameed and Ohad Ziv. “Ventricular Arrhythmias”. Medical Clinics of North America5 (2019): 881-895.
6. Farhan Malik., et al. “Atypical presentation of ventricular tachycardia”. Clinical Medicine Journal (2020).
7. SAWG Dello., et al. “Loss of consciousness and convulsion induced by a ventricular tachycardia mimicking epilepsy in a patient with noncompaction cardiomyopathy: a case report”. Netherlands Heart Journal 22 (2014): 301-303.
8. Rageti JS and Nai Q. “Convulsive syncope induced by vebtricular arrythmia masquerading as epileptic seizure”. Journal of Clinical Medicine Research 8 (2016): 610-615.
9. Hsiu-Ching., et al. “Ventricular tachycardia manifested as tonic seizure” (2012).
10. M Fatar., et al. “Interaction between heart and brain in sudden cardiac death”. Herz2 (2017): 171-175.
11. E Egerer., et al. “Acute diseases of the brain and heart : A reciprocal culprit-victim relationship”. Medizinische Klinik - Intensivmedizin und Notfallmedizin6 (2018): 456-463.
12. Rupak Desai., et al. “Burden of Arrhythmias in Epilepsy Patients: A Nationwide Inpatient Analysis of 1.4 Million Hospitalizations in the United States”. Cureus8 (2017): e1550.
13. Douglas P Zipes. “Heart-brain interactions in cardiac arrhythmias: role of the autonomic nervous system”. Cleveland Clinic Journal of Medicine 75 (2008): S94-96.

Citation: Sara Mohamed Elzeiny. “Ventricular Fibrillation First Presented by Convulsion and Sudden Cardiac Death in Acute Coronary Syndrome: A Case Report". Acta Scientific Clinical Case Reports 4.8 (2023): 10-11.

Copyright: © 2023 Sara Mohamed Elzeiny. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.