Convulsive Syncope can be difficult to distinguish from seizures at times. We present a young adult with cardiogenic convulsive syncope that mimic seizures. Continuous cardiac monitoring revealed various arrythmias during seizure like activity. She had a viral prodrome. Cardiac MRI was diagnostic for myocarditis. More detailed studies for the role of a noninvasive cardiac testing such as Cardiac MRI (CMR) and newer treatment modalities such as anti-thymocyte immunoglobulin are required for the management of Viral Myocarditis.
A 32-year-old female was brought to the Emergency Department after a cardiac arrest at work. She was found to be pulseless, so three rounds of CPR were performed, and four shocks were delivered. While in hospital she had multiple episodes of arrythmias associated with pulselessness requiring transvenous pacing. She had a prodrome of viral illness and transferred to a tertiary care center for cardiac MRI and placement of an Implantable Cardioverter Defibrillator (ICD). Cardiac MRI revealed signs of early myocarditis.