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Case Report
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| Cardiac electrical and biochemical abnormalities in acute stroke: A case report | ||||||
| M. Umair Bakhsh1, Hassan Alkhawam1, Feras Zaiem2, Mohammed El-hunjul3, Jaspirt Takher1, Anirudh Pareek1, Robert Sogomonian1 | ||||||
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1Deaprtment of Medicine, Elmhurst Hospital Center-Icahn School of Medicine at Mount Sinai. Elmhurst, NY, USA.
2Mayo Clinic, Mayo Evidence Based Practice Center. Rochester, MN. 3Department of Medicine, Saint Joseph Hospital, Chicago, IL, USA. | ||||||
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| How to cite this article |
| Bakhsh MU, Alkhawam H, Zaiem F, El-hunjul M, Takher J, Pareek A, Sogomonian R. Cardiac electrical and biochemical abnormalities in acute stroke: A case report. Int J Case Rep Images 2015;6(9):579–582. |
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Abstract
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Introduction:
Cardiac troponin T (cTnT) is a highly sensitive and specific marker of myocardial necrosis that aid in diagnosis of myocardial infarction. The cTnT elevations along with ECG changes noticed in patients with acute Stroke without major cardiac events.
Case Report: We report a case of 87-year-old female presented with cough, lethargy, decreased oral intake, shortness of breath, chest pain and altered mental status. Head computed tomography (CT) scan did not reveal any acute intracranial pathology. Laboratory work showed cardiac troponin T elevation with ECG changes were concerning for cardiac ischemia. Careful examination was significant for right facial droop and right sided weakness. A repeat head CT scan showed acute stroke. Conclusion: Patient with ischemic stroke may have shown to have an association with elevated cTnT. They are at an increased risk of mortality from renal and/or cardiac failure. Though ECG changes and cTnT levels can be attributed to stroke, given the common risk factors shared by coronary artery disease and stroke, a cardiac work up is warranted to rule out any acute myocardial event or look up for the source of stroke which most likely to be cardiac. | |
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Keywords:
Acute stroke, Cardiac, Coronary artery disease, Myocardial infarction, Stroke, Troponin
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Author Contributions
M. Umair Bakhsh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Hassan Alkhawam – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Feras Zaiem – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Mohammed El-Hunjul – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Jaspirt Takher – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Anirudh Pareek – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Rober Sogomonian – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 M. Umair Bakhsh et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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