[ECG changes during stroke].
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.
Golan
Shani
S
Department of Medicine F, Sheba Medical Center, Tel Hashomer, Israel.
Livneh
Avi
A
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*