Carbamazepine-Induced Symptomatic Bradycardia in a Middle-Aged Female

Abstract

Carbamazepine is an anticonvulsant drug commonly used to treat seizure disorders and trigeminal neuralgia. Although its hematologi-cal and hepatic side effects are well known, the rare cardiac side effects, mainly bradyarrhythmias, and atrioventricular blocks, are not discussed often in the literature. As per evidence, it has negative chronotropic and dromotropic effects on the cardiac conduction system. This case report discusses the life-threatening cardiac side effects of carbamazepine therapy and the significance of detailed cardiac evaluation before initiating this drug. We report a case of symptomatic bradycardia in a middle-aged female as the consequence of car-bamazepine administration for seizure prophylaxis after meningioma resection.