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Transient Cardiac Dysfunction Following a Cerebrovascular Accident
Journal article   Open access   Peer reviewed

Transient Cardiac Dysfunction Following a Cerebrovascular Accident

Steven Hamilton, Rana A Tauseen, Sara L Wallach and Adam C Kaplan
Curēus (Palo Alto, CA), v 13(6), 16023
29 Jun 2021
PMID: 34239799
url
https://doi.org/10.7759/cureus.16023View
Published, Version of Record (VoR) Open

Abstract

Cardiology Internal Medicine Neurology
Acute cerebral injuries are often accompanied by sudden electrocardiogram (ECG) changes such as cardiac arrhythmias, QT prolongation, and abnormal T-wave morphology. One rare phenomenon is “cerebral T-waves”, which are T-waves observed in the context of stroke and described as transient, symmetric, and deeply inverted. The classic cerebral T wave is defined as a T-wave inversion of ≥5 mm depth in at least four contiguous precordial leads, and it is more commonly observed in the setting of acute ischemic stroke rather than hemorrhagic stroke. We describe the case of a patient who initially presented with acute pulmonary edema, T-wave inversions in the precordial leads, and left ventricular dysfunction on echocardiogram raising suspicion of an ischemic cardiac event. However, a brain CT scan performed on the third day of admission proved us wrong.

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Web of Science research areas
Medicine, General & Internal
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