Key result
Intracerebral hemorrhage mimics MI with LV dysfunction and ischemic ECG changes in cerebrocardiac syndrome.
Why the study?
Cerebrocardiac syndrome data after intracerebral hemorrhage are rare, creating diagnostic and therapeutic pitfalls due to lacking specific clinical manifestations and diagnostic methods.
Case Report (n=1)
Highlights the importance of recognizing cerebrocardiac syndrome in patients with acute CNS diseases to avoid misinterpretation of ischemic-like ECGs and unnecessary interventions.
Answers are grounded in this paper and cite their sources.
May prompt consideration of cerebrocardiac syndrome in CNS events with ECG changes; leaves open prospective validation.
BACKGROUND: Cardiac injury may occur after acute pathology of central nervous system (CNS) without any evidence of primary cardiac diseases. The resulting structural and/or functional changes are called cerebrocardiac syndrome (CCS). The great majority of studies have been performed in patients with subarachnoid hemorrhage (SAH), while CCS data after intracerebral hemorrhage (ICH) are rare. It may cause diagnostic and therapeutic pitfalls for the clinician due to a lack of specific clinical manifestations and diagnostic methods. Understanding the underlying pathophysiological and molecular mechanism(s) following cerebrovascular incidents will help to implement prevention and treatment strategies to improve the prognosis. CASE SUMMARY: A 37-year-old man with a history of hypertension presented to our department on an emergency basis because of a sudden dizziness and left limb weakness. Cerebral computed tomography (CT) suggested ICH in the occipital and parietal lobes, and the chosen emergency treatment was hematoma evacuation. Left ventricular (LV) dysfunction occurred after the next 48 h and the electrocardiogram (ECG) showed non-ST elevation myocardial infarction. CCS was suspected first in the context of ICH due to the negative result of the coronary CT angiogram. CONCLUSION: Misinterpretation of ischemic-like ECGs may lead to unnecessary or hazardous interventions and cause undue delay of rehabilitation after stroke. Our objective is to highlight the clinical implications of CCS and we hope the differential diagnoses will be considered in patients with acute CNS diseases.
No takes yet. Share an insight, caveat, or question.
Lin et al. (2019) conducted a case report in Intracerebral hemorrhage and cerebrocardiac syndrome (n=1). Hematoma evacuation was evaluated. A 37-year-old man with intracerebral hemorrhage developed left ventricular dysfunction and ischemic-like ECG changes mimicking myocardial infarction, highlighting cerebrocardiac syndrome.
Synapse has enriched 10 related papers. Consider them for comparative context: