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Torsades de Pointes due to ischemic stroke

Tarik Ocak1, Arif Duran, Umit Yasar Tekelioglu

  • 11Department of Emergency Medicine, 2Department of Anesthesiology and Reanimation, 3Department of Cardiology, 4Department of Radiology; Abant Izzet Baysal University, Medical School, Bolu, Turkey.

Medicinski Glasnik : Official Publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina
|July 30, 2013
PubMed

Insights

This case study highlights Torsades de Pointes, a dangerous heart rhythm, occurring secondary to ischemic cerebral stroke. It emphasizes the importance of considering cardiac abnormalities in stroke patients, even without prior heart disease history.

Area of Science:

  • Cardiology
  • Neurology
  • Internal Medicine

Background:

  • Cardiac and cerebrovascular diseases are leading causes of mortality.
  • Thromboembolic events from cardiac arrhythmia contribute significantly to cerebral stroke.
  • Electrocardiography (ECG) may show abnormalities like ST-T wave changes in stroke patients without cardiac history.

Purpose of the Study:

  • To present an unusual case of Torsades de Pointes (TdP) triggered by ischemic cerebral stroke.
  • To underscore the potential link between neurological events and cardiac arrhythmias.
  • To raise awareness of cardiac manifestations in stroke patients.

Main Methods:

  • Case report detailing a patient with ischemic cerebral stroke.
  • Electrocardiographic (ECG) monitoring and analysis.
  • Review of relevant medical literature.

Main Results:

  • The patient experienced Torsades de Pointes, a specific type of ventricular tachycardia.
  • The cardiac event was identified as a consequence of the ischemic cerebral stroke.
  • ECG revealed characteristic abnormalities associated with TdP.

Conclusions:

  • Ischemic cerebral stroke can precipitate serious cardiac arrhythmias like Torsades de Pointes.
  • Thorough cardiac evaluation, including ECG, is crucial in patients presenting with ischemic stroke, irrespective of cardiac history.
  • This case illustrates a critical interplay between neurological and cardiovascular systems.

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