Myocardial ischemic changes of electrocardiogram in intracerebral hemorrhage: A case report and review of literature

作     者：Xue-Qi Lin Liang-Rong Zheng 

作者机构：Department of Cardiovascular The First Affiliated Hospital of Zhejiang University 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2019年第7卷第21期

页      面：3603-3614页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：Stroke Intracerebral hemorrhage Cerebrocardiac syndrome Cardiac insufficiency Non-ST elevation myocardial infraction Case report Neurogenic stunned myocardium 

摘      要：BACKGROUND Cardiac injury may occur after acute pathology of central nervous system(CNS)without any evidence of primary cardiac *** 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 *** may cause diagnostic and therapeutic pitfalls for the clinician due to a lack of specific clinical manifestations and diagnostic *** the underlying pathophysiological and molecular mechanism(s)following cerebrovascular incidents will help to implement prevention and treatment strategies to improve the *** 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 *** computed tomography(CT)suggested ICH in the occipital and parietal lobes,and the chosen emergency treatment was hematoma *** ventricular(LV)dysfunction occurred after the next 48 h and the electrocardiogram(ECG)showed non-ST elevation myocardial *** was suspected first in the context of ICH due to the negative result of the coronary CT *** Misinterpretation of ischemic-like ECGs may lead to unnecessary or hazardous interventions and cause undue delay of rehabilitation after *** objective is to highlight the clinical implications of CCS and we hope the differential diagnoses will be considered in patients with acute CNS diseases.