Electrocardiographic changes associated with acute cerebrovascular disease: A clinical review

Davis, Thomas P.; Alexander, J.P.; Lesch, Michael

doi:10.1016/0033-0620(93)90017-8

Cited by 80 publications

(61 citation statements)

References 126 publications

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“…This shows that CK-MB is not the only marker of cardiac myocytolysis. Abnormally excessive levels of plasma catecholamine secondary to rapidly increase in intracranial pressure (13) , skeletal muscle damage as a result of a multiple injections (14) , negative caloric balance (15) can be some of the reasons attributed to the elevation of CK-MB levels in these patients. A study carried out in the University of Babylon, Iraq 2010 to determine the prognostic Significance of Troponin T and Creatine Kinase-MB in sera of patients with Acute Ischaemic Stroke (16) .…”

Section: Discussionmentioning

confidence: 99%

“…Physician regularly encounters patients with ECG changes associated with CNS lesions. Repolarization disturbances and dysrhythmias in acute stroke can be due to release of catecholamines, direct neural outcomes mediated from the CNS via neurons ending on the heart (2) , or co existing ischaemic heart disease (3) . Cardiac troponin is the important marker for myocardial damage (4) .…”

Section: Introductionmentioning

confidence: 99%

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Significance of Cardiac Enzymes in Patients with Acute Stroke

P.Mohanapriya

2017

JMSCR

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Stroke is a cerebrovascular event where in neurological deficit develops over minutes or hours, in a stepwise fashion, persists for twenty-four hours or more and is because of a vascular disturbance which include arterial occlusion with consequent ischemic focal infarction of the brain. Various studies confirmed myocardial damage in stroke. So this study was done to assess the cardiac damage with the usage of CK-MB, Trop -T in patients with acute stroke .Cardiac enzymes like creatine kinase (CK-MB)and Troponin-T studied in these patients showed that CK-MB which was specific for myocardial infarction loses its specificity in patients with stroke. CK-MB elevation in these patients does not indicate cardiac damage. Troponin -T was negative in most of the patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Significance of Cardiac Enzymes in Patients with Acute Stroke

P.Mohanapriya

2017

JMSCR

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“…1 Arrhythmias and electrocardiographic changes are not uncommon in patients with acute intracranial vascular events due to neurohormonal changes, although the patient did not exhibit the electrocardiographic changes commonly observed, such as QT prolongation, depressed ST segments, and flat or inverted T waves. 1 The patient did not have a history of bradycardia before this hospitalization, making isolated sinus node dysfunction a highly unlikely explanation for her presentation. The ob- served gradual slowing of the heart rate and a previous history of vasovagal syncope suggested a reflex rather than intrinsic sinus node disease.…”

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confidence: 87%

A Sensitive Dissection

et al. 2008

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“…Of these a few will demonstrate myocardial dysfunction and or damage. 4 Approximately half of patients whose cardiac arrest is due to an intracranial haemorrhage may collapse without complaining of a headache.…”

Section: Introductionmentioning

confidence: 99%

Subarachnoid haemorrhage mimicking as myocardial infarction

2017

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Electrocardiographic (ECG) changes due to subarachnoid haemorrhage (SAH) are seen frequently and mimic acute myocardial infarction. For appropriate therapeutic management it is very important to distinguish acute coronary syndrome from neurogenic myocardial injury, which is a reversible condition. A 35 year old male presented to us with history of acute chest pain, ECG suggestive of anterolateral myocardial infarction for which he underwent anticoagulant therapy. It was subsequently diagnosed to be a case of SAH due to ruptured anterior communicating artery aneurysm.

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Electrocardiographic changes associated with acute cerebrovascular disease: A clinical review

Cited by 80 publications

References 126 publications

Significance of Cardiac Enzymes in Patients with Acute Stroke

Significance of Cardiac Enzymes in Patients with Acute Stroke

A Sensitive Dissection

Subarachnoid haemorrhage mimicking as myocardial infarction

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