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- Zachary D Goldberger, Claire J Creutzfeldt, and Ary L Goldberger.
- University of Washington School of Medicine, Harborview Medical Center, Seattle 98104, WA; Department of Internal Medicine, Division of Cardiology, Seattle 98104, WA.
- J Electrocardiol. 2014 Jan 1; 47 (1): 80-3.
AbstractCerebrogenic ECG abnormalities, especially prominent T wave inversions and prolongation of the QT(U) interval, are well-described. Brady- and tachyarrhythmias, including polymorphic VT, have been also described in the setting of neurologic injury. We report an unusual case of a 22-year-old man who presented with idiopathic acute encephalopathy. His hospital course was complicated by persistent fevers, along with refractory seizures treated with propofol. Serial ECG findings included marked ventricular repolarization prolongation with bursts of torsade de pointes, diffuse ST elevations simulating extensive myocardial ischemia or infarction, as well as a Brugada-like pattern. To our knowledge, this case is the first reported with the combination of such findings in a patient with a catastrophic neurologic syndrome. © 2013.
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