Seizure-induced acute coronary syndrome: the value of postictal screening

[...]we demonstrated the value of a simple screening tool of serial cardiac enzymes and electrocardiograms (ECGs), which are readily available in the hospital to tease out this rare entity that can prove fatal if not detected early. Conceptually, vulnerable plaque's rupture plausibly occurred d...

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Veröffentlicht in:	The American journal of emergency medicine 2014-12, Vol.32 (12), p.1538-1543
Hauptverfasser:	Akrawinthawong, Krittapoom, MD, MSc, Leelasinjaroen, Pornchai, MD, Ng, Yee Seng, MD, Dean, Marissa N., MD, Piyaskulkaew, Chatchawan, MD, Al-najafi, Saif, MD, Mazimba, Sula E., MD, MPH, FACC
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Acute Coronary Syndrome - diagnosis Acute Coronary Syndrome - etiology Acute coronary syndromes Adult Blood clots Cardiovascular disease Coronary Angiography Coronary vessels Electrocardiography Emergency Emergency medical care Enzymes Epilepsy Female Heart attacks Humans Hypertension Ischemia Male Middle Aged Pathology Seizures - complications Thrombosis Ultrasonic imaging Urine
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Beschreibung
Zusammenfassung:	[...]we demonstrated the value of a simple screening tool of serial cardiac enzymes and electrocardiograms (ECGs), which are readily available in the hospital to tease out this rare entity that can prove fatal if not detected early. Conceptually, vulnerable plaque's rupture plausibly occurred due to severe stress from multiple seizures. [...]plaque rupture due to multiple seizures in our cases cannot be completely ruled out.
ISSN:	0735-6757 1532-8171
DOI:	10.1016/j.ajem.2014.08.008