Basic and Clinical Neuroscience Journal
مجله علوم اعصاب پایه و بالینی
BCN
Medical Sciences
http://bcn.iums.ac.ir
137
journal137
2008-126X
2228-7442
10.32598/bcn
en
jalali
1392
1
1
gregorian
2013
4
1
4
2
online
1
fulltext
en
Rapidly Changing Tachyarrhythmia in Acute Stroke
Cellular and molecular Neuroscience
Cellular and molecular Neuroscience
Original
Original
<p align="left" ><p><b><font color="#221e1f" size="1"><font color="#221e1f" size="1">Introduction: </font></font><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1">we report a 56-year-olds female with supraventricular arrhythmia due acute ischemic stroke without structural heart disease. </font></font></font><b><font color="#221e1f" size="1"><font color="#221e1f" size="1"><p align="justify">Case Description: </p></font></font><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1">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 </font></font></font><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1">including sinus tachycardia, atrial fibrillation, and atrial flutter that quickly interchanged to </font></font></font><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1">another, without hemodynamic instability and alteration in mental status. Laboratory tests and TEE study were normal. During 48 hour arrhythmia relived spontaneously. </font></font></font><b><font color="#221e1f" size="1"><font color="#221e1f" size="1"><p>Discussion: </p></font></font><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1"><font color="#221e1f" face="Times New Roman,Times New Roman" size="1">Stroke can cause any type of cardiac arrhythmias that may not be constant. </font></font></font></b></b></b></p>
Ischemic Stroke,Atrial Tachycardia,Atrial Fibrillation,Atrial Flutter,Sinus Tachycardia.
169
171
http://bcn.iums.ac.ir/browse.php?a_code=A-10-1-157&slc_lang=en&sid=1
Atabak
Najafi
1370031947532846003887
1370031947532846003887
No
Mojtaba
Mojtahedzadeh
1370031947532846003888
1370031947532846003888
No
Arezoo
Ahmadi
1370031947532846003889
1370031947532846003889
No
Masoud
Ramezani
1370031947532846003890
1370031947532846003890
No
Reza
Shariatmoharari
1370031947532846003891
1370031947532846003891
No
Ebrahim
Hazrati
1370031947532846003892
1370031947532846003892
Yes