Abstract
Brain and heart have many connections both in disease and physiology. Most of the literature refers to neurological complication of underlying cardiac disease. In this case report we present a cardiac complication due to acute stroke, which is rather frequent in clinical practice. Here we present a patient with second degree heart block followed by neurological deficit, due to acute intracranial hemorrhage. The heart block regressed along with neurological stabilization a few days later.
References
- Weidler dj: myocardial damage and cardiac arrhythmias after intracranial haemorrhage. A critical review. Stroke 5:759-764, 1974 .
- Daniele o, carvaglios G., Fierro B., et al. stroke and cardiac arrhythmias. J stroke cerbrovas Dis 2002;11:28-33.
- Kallmunzer B, Breuer L, Kahl N, et al. Serious cardiac arrhythmias after stroke: incidence, time course, and predictors—a systematic, prospective analysis. Stroke 2012;43: 2892–7.
- Myers MG, Norris JW, Hachinski, VC et al: Plasma norepinephrinein stroke. Stroke 12: 200-204, 1981.
- Abboud H., Berroir S., Labreuche J., et al. On behalf of GENIC Investigators. Insular involvement in brain infarction increases risk for cardiac arrhythmia and death. Ann Neurol 2006; 59:691-9.
- Katsanos AH, Korantzopoulos P, Tsivgoulis G, et al. Electrocardiographic abnormalities and cardiac arrhythmias in structural brain lesions. Int J Cardiol. 2013;167:328-334.Ventricular Arrhythmia Risk in Non cardiac Diseases http://dx.doi.org/10.5772/57164105
- Prosser J., MacGregor L., Lees K.R., et al. Predictors of early cardiac morbidity and mortality after ischemic stroke. Stroke2007; 38:2295-302.
Corresponding Author
Dr Manomenane.M
Post Graduate, Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital