Über Ekg.-Veränderungen bei Hirntumorkranken

R, Aschenbrenner; Bodechtel, G.

doi:10.1007/bf01778563

Cited by 46 publications

(12 citation statements)

References 6 publications

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“…On the other hand, that underlying heart disorders may not necessarily underlie these effects was suggested by a detailed report published in the German literature in 1938 of a series of young patients without cardiac history, and which significantly associated ECG changes with cortical neoplasia. There was no evidence of a Cushing response [increased intracranial pressure (ICP) leading to increase in blood pressure, decrease in heart rate and irregular breathing] and the absence of cardiac disease was confirmed at autopsy (12). Case reports of similar findings followed, for example that of a patient with a right frontal lobe glioma and an ictal focus who presented with atrial tachyarrhythmias which subsided completely on tumor excision (274).…”

Section: Historical Perspectives-cortical Involvement In Cardiovasculmentioning

confidence: 92%

The Insular Cortex and the Regulation of Cardiac Function

Oppenheimer

Cechetto

2016

Comprehensive Physiology

166

128

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Cortical representation of the heart challenges the orthodox view that cardiac regulation is confined to stereotyped, preprogrammed and rigid responses to exteroceptive or interoceptive environmental stimuli. The insula has been the region most studied in this regard; the results of clinical, experimental, and functional radiological studies show a complex interweave of activity with patterns dynamically varying regarding lateralization and antero-posterior distribution of responsive insular regions. Either acting alone or together with other cortical areas including the anterior cingulate, medial prefrontal, and orbito-frontal cortices as part of a concerted network, the insula can imbue perceptions with autonomic color providing emotional salience, and aiding in learning and behavioral decision choice. In these functions, cardiovascular input and the right anterior insula appear to play an important, if not pivotal role. At a more basic level, the insula gauges cardiovascular responses to exteroceptive and interoceptive stimuli, taking into account memory, cognitive, and reflexive constructs thereby ensuring appropriate survival responses and maintaining emotional and physiological homeostasis. When acquired derangements to the insula occur after stroke, during a seizure or from abnormal central processing of interoceptive or exteroceptive environmental cues as in psychiatric disorders, serious consequences can arise including cardiac electrophysiological, structural and contractile dysfunction and sudden cardiac death.

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Section: Historical Perspectives-cortical Involvement In Cardiovasculmentioning

confidence: 92%

The Insular Cortex and the Regulation of Cardiac Function

Oppenheimer

Cechetto

2016

Comprehensive Physiology

166

128

View full text Add to dashboard Cite

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“…It has been known for at least 30 years (Aschenbrenner and Bodechtel, 1938) that brain lesions may be accompanied by abnormalities in the electrocardiogram (E.C.G.). Post-mortem examination of hearts from such patients has not usually shown any appreciable abnormality, and a vague impression has arisen that E.C.G.…”

Section: Introductionmentioning

confidence: 99%

Heart Damage Associated with Intracranial Lesions

Connor¹

1968

BMJ

114

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“…EKG-Veränderungen bei akuten zerebralen Läsionen sind bereits 1938 beschrieben worden [2]. In einem größe-ren Kollektiv fanden sich bei 76% der Patienten mit intrakranieller Hämorrha-gie im zeitlichen Verlauf oft wechselnde EKG-Abnormitäten [6].…”

Section: Ekg-veränderungen Bei Akuten Zerebralen Läsionenunclassified

40-jährige Patientin mit Kopfschmerzen und Infarkt-EKG

2007

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Cerebral lesions may contribute to a transient left ventricular ballooning syndrome that can mimic acute myocardial infarction. Fibrinolytic therapy or GP IIb/IIIa antagonists should be withheld in cases of neurologic disorder or unconsciousness even in the presence of ST-elevation.ECG transmission by telemetry and myocardial infarction alarm networks allow correct diagnosis and catheter treatment within required time limits.

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Über Ekg.-Veränderungen bei Hirntumorkranken

Cited by 46 publications

References 6 publications

The Insular Cortex and the Regulation of Cardiac Function

The Insular Cortex and the Regulation of Cardiac Function

Heart Damage Associated with Intracranial Lesions

40-jährige Patientin mit Kopfschmerzen und Infarkt-EKG

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