title: Prolonged atrial fibrillation precipitated by new-onset seizures and marijuana abuse.
abstract: We report a case of prolonged atrial fibrillation (AF) precipitated by new-onset generalized tonic-clonic convulsions and marijuana abuse in a developmentally normal 18-year-old adolescent with a structurally normal heart. Our case highlights an interesting association and a unique pathophysiology between generalized tonic-clonic convulsions, marijuana abuse, and AF. We suggest that seizures and marijuana abuse should be considered in the differential diagnosis of the etiology of AF in children.
authors.affiliation: Division of Pediatric Critical Care, Department of Pediatrics, Tulane University School of Medicine, New Orleans, Louisiana.
authors.forename: Dinesh
authors.initials: D
authors.lastname: Singh
authors.forename: Margaret
authors.initials: M
authors.lastname: Huntwork
authors.forename: Varun
authors.initials: V
authors.lastname: Shetty
authors.forename: Gina
authors.initials: G
authors.lastname: Sequeira
authors.forename: Olugbenga
authors.initials: O
authors.lastname: Akingbola
mesh_terms: D000293:Adolescent; D001281:Atrial Fibrillation / Q000209:etiology*; D004830:Epilepsy, Tonic-Clonic / Q000150:complications*; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000150:complications*; D012640:Seizures; D013997:Time Factors
keywords: PICU; adolescents; arrhythmia; drug abuse; seizures