Acute Right Middle Cerebral Artery Occlusion Resulting in Acute Systolic Heart Failure, Cerebral T-Waves, and QTc Prolongation

Benzion Blech, Cumara O'Carroll

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Introduction: Acute cerebral injuries, such as cerebral ischemic or hemorrhagic events, have been repeatedly correlated with sudden electrocardiogram (ECG) changes, such as cardiac arrhythmias, QT prolongation, and T-wave inversion (the "cerebral T-wave"). Injuries to the insular cortex have been reported in the literature to result in such changes, possibly due to increased sympathetic tone to the cardiac system. Case Report: A 65-year-old gentleman presented with an acute right middle cerebral artery territory infarction, and was found to have ECG abnormalities and left ventricular dysfunction, which improved after the acute phase of the stroke. Conclusions: Acute ischemic infarcts, particularly to the right insular cortex, can result in ECG abnormalities, such as QT prolongation and T-wave inversion, as well as acute systolic heart failure; all of which may be reversible after the acute phase of the stroke.

Original languageEnglish (US)
Pages (from-to)135-137
Number of pages3
JournalNeurologist
Volume23
Issue number4
DOIs
StatePublished - Jul 1 2018

Keywords

  • QTc prolongation
  • T-wave inversion
  • heart failure
  • ischemic stroke

ASJC Scopus subject areas

  • Clinical Neurology

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