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Updated: Dec 6, 2025
06:01
A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
15.3K
Transient Cardiac Dysfunction in Cerebrovascular Accidents.
Ahmed Elkhouly1, Rana A Tauseen2, Steven Hamilton1
1Internal Medicine, St. Francis Medical Center, Trenton, USA.
Cureus
|October 8, 2020
Summary
Electrocardiogram (EKG) changes, including T-wave inversions, can indicate acute cerebral injuries like stroke. This case highlights cerebral T-waves as a sign of neurological events, not always cardiac issues.
Area of Science:
- Neurology
- Cardiology
- Medical Imaging
Background:
- Acute cerebral injuries are linked to electrocardiogram (EKG) changes, including arrhythmias and T-wave abnormalities.
- Cerebral T-waves, characterized by deep, inverted T-waves in precordial leads, are a rare phenomenon associated with stroke.
Observation:
- A patient presented with acute pulmonary edema, T-wave inversions, and left ventricular dysfunction, initially mimicking acute coronary syndrome (ACS).
- Diagnostic workup revealed the cardiac symptoms were secondary to an underlying acute cerebral injury.
Findings:
- The patient's presentation of T-wave inversions and cardiac dysfunction was ultimately attributed to a cerebral event, not ACS.
- This case underscores the importance of considering neurological causes for seemingly cardiac symptoms.
Implications:
- Recognizing cerebral T-waves is crucial for accurate diagnosis and timely treatment of stroke.
- Autonomic dysfunction following cerebral injury can manifest as transient cardiac dysfunction, requiring a comprehensive diagnostic approach.
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