Rapidly Changing Tachyarrhythmia in Acute Stroke
Introduction: we report a 56-year-olds female with supraventricular arrhythmia due acute ischemic stroke without structural heart disease. Case Description: A patient presented with sudden onset of lethargy, right hemiplegia, and global aphasia. There was previous history of stroke 1 year ago presen...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Iran University of Medical Sciences
2013-04-01
|
Series: | Basic and Clinical Neuroscience |
Subjects: | |
Online Access: | http://bcn.iums.ac.ir/browse.php?a_code=A-10-1-157&slc_lang=en&sid=1 |
_version_ | 1797285028668899328 |
---|---|
author | Atabak Najafi Mojtaba Mojtahedzadeh Arezoo Ahmadi Masoud Ramezani Reza Shariatmoharari Ebrahim Hazrati |
author_facet | Atabak Najafi Mojtaba Mojtahedzadeh Arezoo Ahmadi Masoud Ramezani Reza Shariatmoharari Ebrahim Hazrati |
author_sort | Atabak Najafi |
collection | DOAJ |
description | Introduction: we report a 56-year-olds female with supraventricular arrhythmia due acute ischemic stroke without structural heart disease. Case Description: A patient presented with sudden onset of lethargy, right hemiplegia, and global aphasia. There was previous history of stroke 1 year ago presented with left hemiplegia that recovered completely during 10 days. There was no history of comorbid illness. The brain CT revealed extensive hypodensity in left temporoparietal region suggestive of infarct without midline shift. General examination revealed hypotension and bradycardia that treated with dopamine that gradually recovered during 5 days thus infusion of dopamine discontinued, and muscular power in paretic limbs and aphasia was recovered. In 6th day of admission electrocardiographic monitoring of patient showed a rapidly changing tachyarrhythmia including sinus tachycardia, atrial fibrillation, and atrial flutter that quickly interchanged to another, without hemodynamic instability and alteration in mental status. Laboratory tests and TEE study were normal. During 48 hour arrhythmia relived spontaneously. Discussion: Stroke can cause any type of cardiac arrhythmias that may not be constant. |
first_indexed | 2024-03-07T17:56:16Z |
format | Article |
id | doaj.art-ecf7321ba6c844efa9c68e92ac72f307 |
institution | Directory Open Access Journal |
issn | 2008-126X 2228-7442 |
language | English |
last_indexed | 2024-03-07T17:56:16Z |
publishDate | 2013-04-01 |
publisher | Iran University of Medical Sciences |
record_format | Article |
series | Basic and Clinical Neuroscience |
spelling | doaj.art-ecf7321ba6c844efa9c68e92ac72f3072024-03-02T12:15:54ZengIran University of Medical SciencesBasic and Clinical Neuroscience2008-126X2228-74422013-04-0142169171Rapidly Changing Tachyarrhythmia in Acute StrokeAtabak Najafi0Mojtaba Mojtahedzadeh1Arezoo Ahmadi2Masoud Ramezani3Reza Shariatmoharari4Ebrahim Hazrati5 Introduction: we report a 56-year-olds female with supraventricular arrhythmia due acute ischemic stroke without structural heart disease. Case Description: A patient presented with sudden onset of lethargy, right hemiplegia, and global aphasia. There was previous history of stroke 1 year ago presented with left hemiplegia that recovered completely during 10 days. There was no history of comorbid illness. The brain CT revealed extensive hypodensity in left temporoparietal region suggestive of infarct without midline shift. General examination revealed hypotension and bradycardia that treated with dopamine that gradually recovered during 5 days thus infusion of dopamine discontinued, and muscular power in paretic limbs and aphasia was recovered. In 6th day of admission electrocardiographic monitoring of patient showed a rapidly changing tachyarrhythmia including sinus tachycardia, atrial fibrillation, and atrial flutter that quickly interchanged to another, without hemodynamic instability and alteration in mental status. Laboratory tests and TEE study were normal. During 48 hour arrhythmia relived spontaneously. Discussion: Stroke can cause any type of cardiac arrhythmias that may not be constant.http://bcn.iums.ac.ir/browse.php?a_code=A-10-1-157&slc_lang=en&sid=1Ischemic StrokeAtrial TachycardiaAtrial FibrillationAtrial FlutterSinus Tachycardia. |
spellingShingle | Atabak Najafi Mojtaba Mojtahedzadeh Arezoo Ahmadi Masoud Ramezani Reza Shariatmoharari Ebrahim Hazrati Rapidly Changing Tachyarrhythmia in Acute Stroke Basic and Clinical Neuroscience Ischemic Stroke Atrial Tachycardia Atrial Fibrillation Atrial Flutter Sinus Tachycardia. |
title | Rapidly Changing Tachyarrhythmia in Acute Stroke |
title_full | Rapidly Changing Tachyarrhythmia in Acute Stroke |
title_fullStr | Rapidly Changing Tachyarrhythmia in Acute Stroke |
title_full_unstemmed | Rapidly Changing Tachyarrhythmia in Acute Stroke |
title_short | Rapidly Changing Tachyarrhythmia in Acute Stroke |
title_sort | rapidly changing tachyarrhythmia in acute stroke |
topic | Ischemic Stroke Atrial Tachycardia Atrial Fibrillation Atrial Flutter Sinus Tachycardia. |
url | http://bcn.iums.ac.ir/browse.php?a_code=A-10-1-157&slc_lang=en&sid=1 |
work_keys_str_mv | AT atabaknajafi rapidlychangingtachyarrhythmiainacutestroke AT mojtabamojtahedzadeh rapidlychangingtachyarrhythmiainacutestroke AT arezooahmadi rapidlychangingtachyarrhythmiainacutestroke AT masoudramezani rapidlychangingtachyarrhythmiainacutestroke AT rezashariatmoharari rapidlychangingtachyarrhythmiainacutestroke AT ebrahimhazrati rapidlychangingtachyarrhythmiainacutestroke |