Epilepsy is one of the most common neurologic diseases affecting people of all ages, races, sex, social classes, and geographic locations. Cardiac arrhythmias have been associated with patients with seizure disorders and can be a common sudden unexpected death in epilepsy. We present a case of a 74-year-old woman with altered level of consciousness and agitation who was found to have non-convulsive status epilepticus and complete AV block. She was successfully managed only with dual antiepileptic medications. Diagnosis is best made with EEG and ECG. In general, management is made by seizure medications, while pacemakers are still a point of debate.