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Transient Cardiac Dysfunction in Cerebrovascular Accidents
Journal article   Open access   Peer reviewed

Transient Cardiac Dysfunction in Cerebrovascular Accidents

Ahmed Elkhouly, Rana A Tauseen, Steven Hamilton, Sara L Wallach and Adam C Kaplan
Curēus (Palo Alto, CA), v 12(9), pe10185
01 Sep 2020
DOI: https://doi.org/10.7759/cureus.10185
PMID: 33029464
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.7759/cureus.10185View
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Abstract

Cardiology Internal Medicine Neurology
Acute cerebral injuries have been repeatedly correlated with sudden and different electrocardiogram (EKG) 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. Moreover, few studies linked acute cerebral injuries with transient cardiac dysfunction secondary to autonomic dysfunction. The classic cerebral T-waves are defined as a T-wave inversion of ≥5 mm depth in ≥4 contiguous precordial leads, and it is more commonly observed in the setting of acute ischemic stroke rather than hemorrhagic stroke. We present a patient who presented with acute pulmonary edema, T-wave inversions in the precordial leads, and left ventricular (LV) dysfunction initially suspicious for acute coronary syndrome (ACS). However, computer tomography of the brain performed on the third day of his hospital stay proved us wrong.

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Web of Science research areas
Medicine, General & Internal
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