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An 80 year-old male presented with left-sided stroke symptoms. Following assessment the patient was noted to suffer a seizure and required airway management. A post-intubation 12-lead EKG showed the following ST abnormalities:
What is your EKG interpretation? What is your diagnosis?
In patients suffering from significant intracranial hemorrhage, there have been documented EKG changes which this patient presented with. Although poorly understood, EKG abnormalities do present themselves in large space occupying bleeds.
In a retrospective evaluation of 31 cases, a study documented the following EKG manifestations:
“Twenty-five patients (81%) had one or more ECG abnormalities. The most frequently observed ECG abnormality was QTc prolongation (36%), followed by ST-T morphologic changes (23%), sinus bradycardia (16%), and inverted T wave (16%).”
For additional information on this case, please visit http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3318097/