title: [ECG changes during stroke].
abstract: In a patient, who presented with left sided hemiparesis and right frontal brain infarction, ischemic-like new T wave inversion appeared in a routine electrocardiogram (ECG), performed 2 days after admission. Chest pain or equivalent manifestations, suggesting acute coronary syndrome were denied, and normal troponin level was found. A literature search revealed that a variety of ECG changes might be seen in about 30% of patients with acute stroke. They arise from catecholamine induced myocte injury, and may pose a diagnosis dilemma in the differential diagnosis from ischemic ECG changes. The role of ECG changes in our patient and other patients with similar findings is yet to be determined.
authors.affiliation: Department of Medicine F, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Shani
authors.initials: S
authors.lastname: Golan
authors.forename: Avi
authors.initials: A
authors.lastname: Livneh
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D002545:Brain Ischemia / Q000503:physiopathology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006321:Heart / Q000503:physiopathology*; D006801:Humans; D020521:Stroke / Q000503:physiopathology*