Myocardial stunning after cerebral infarction.
Myocardial stunning has not been described in patients with cerebrovascular accidents. We present a patient in whom inferior wall hypokinesis, ST-segment elevations and Q waves developed after acute right hemisphere ischemic stroke. Total recovery ensued within 5 days. Coronary vasospasm induced by stroke-related sympathetic surge might be the cause of this cardiac event.
Wang
T D
TD
Department of Internal Medicine, National Taiwan University, Hospital, 7, Taipei, ROC.
Wu
C C
CC
Lee
Y T
YT
D000368:Aged; D002544:Cerebral Infarction / Q000175:diagnosis / Q000503:physiopathology*; D003329:Coronary Vasospasm / Q000175:diagnosis / Q000503:physiopathology; D004292:Dominance, Cerebral / Q000502:physiology; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D017682:Myocardial Stunning / Q000175:diagnosis / Q000503:physiopathology*; D009460:Neurologic Examination; D013318:Stroke Volume / Q000502:physiology; D013564:Sympathetic Nervous System / Q000503:physiopathology