A woman with a past medical history of epilepsy was transferred to our hospital for episodic changes in mental status, jerking movements, and decreased hearing that were thought to represent seizure activity. While in the hospital, she was diagnosed with Brugada syndrome. Her antiepileptic medications were adjusted while she was monitored on constant electroencephalography, video, and cardiac telemetry. It was found that the patient's seizures were not caused by hypoperfusion of her brain secondary to cardiac arrhythmia. Instead, we theorize that she had an underlying systemic, genetic sodium ion channel dysfunction.

Dobutamine-induced AF occurs more commonly in those with prior history of AF and remodeled LV and is associated with unfavorable outcomes.

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