title: Lightning induced atrial fibrillation.
abstract: Atrial fibrillation (AF) is a common arrhythmia that occurs in paroxysmal and persistent forms. It occurs in varied situations but lightning induced AF is extremely rare. Here is a case which reverted to sinus rhythm spontaneously. This 37-year-old man without any underlying heart disease had new onset AF after being struck by a lightning. Oral Metoprolol alone was given to control ventricular rate. Spontaneous reversion to sinus rhythm within 36 hours is in favor of new onset lightning induced AF.
authors.affiliation: Manipal Teaching Hospital, Pokhara, Nepal. dreamysu@hotmail.com
authors.forename: L
authors.initials: L
authors.lastname: Dronacahrya
authors.forename: R
authors.initials: R
authors.lastname: Poudel
mesh_terms: D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D004562:Electrocardiography; D006801:Humans; D015168:Lightning Injuries / Q000150:complications* / Q000503:physiopathology; D008297:Male; D008790:Metoprolol / Q000627:therapeutic use
chemical_list: D000889:Anti-Arrhythmia Agents; D008790:Metoprolol; D001241:Aspirin