Seizure activity demonstrated on electrocardiogram

A 65-year-old man with a history of right middle cerebral artery stroke and atrial fibrillation presented to the emergency department with a chief complaint of left-sided weakness. His symptoms began approximately 60 minutes before his arrival, and an emergent stroke assessment was initiated. On examination, the patient's pulse was 89 beats/min, his respiratory rate was 12 breaths/min, his blood pressure by palpation was 160 mm Hg and his blood glucose was 7.2 mmol/L.