Transient T‐wave changes in Guillain‐Barré syndrome
نویسنده
چکیده
A 44yearold woman was diagnosed with GuillainBarré syndrome (GBS) on day 5 after admission. She also suffered from chest pain early morning every day after admission. The severity of her GBS was Hughes functional grade four without any autonomic dysfunction. Cardiac enzymes (creatine kinaseMB and troponin I) were not elevated; however, T waves in leads II, III, aVF, and V2 through V5 on electrocardiogram (ECG) gradually inverted (Figure 1). Oral diltiazem and a nitroglycerin patch were initiated, but these treatments did not prevent the chest pain. An echocardiogram showed normal left ventricular systolic function without regional asynergy or valve abnormality. Coronary angiography revealed normal coronary arteries without significant vasospasm following ergonovine test. After treatment with 20 g/day of intravenous immunoglobulin for 5 days, the patient’s neurological symptoms gradually improved, and her chest pain disappeared after day 11. Two months later, her T waves on ECG turned to normal (Figure 1). The patient’s transient T-wave changes on ECG were apparently caused by her GBS. This phenomenon could be explained by cardiac
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عنوان ژورنال:
دوره 18 شماره
صفحات -
تاریخ انتشار 2017