Highlights an association between generalized tonic-clonic convulsions, marijuana abuse, and atrial fibrillation in adolescents.
AF may occur after convulsions and marijuana in adolescents; leaves open causality and needs confirmation before clinical relevance.
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.
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Singh et al. (2014) studied this question.
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