torsade de pointes with presentation of seizure in the ischemic heart disease context: a case report

Introduction: torsade de pointes (tdp) is a devastating form of ventricular arrhythmia, mainly associated with prolongation of corrected qt (qtc) interval. in general, a tdp episode terminates spontaneously, produces syncopal episodes, or degenerates lethal arrhythmias. there are few reports on tdp in the context of ischemic heart disease (ihd). the present report describes a case of tdp in an ihd patient with presentation of seizure. case presentation: we describe the case of a 64-year-old man with a history of diabetes, complaint of chest discomfort, and diagnosis of unstable angina. the patient experienced recurrent myoclonic jerks, as well as transient, but progressive changes in consciousness; however, they were related to cardiac arrhythmia rather than a brain disorder. conclusions: cardiac arrhythmias, similar to tdp episodes, should be taken into consideration in the management of ihd patients with seizure.