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A woman with cardioembolic stroke
  1. Angelos A Arseniou1,
  2. Tereza Memi2,
  3. Anastasia Giantsouli3
  1. 1 1st Cardiology, University General Hospital of Ioannina, Ioannina, Greece
  2. 2 Rheumatology, University General Hospital of Ioannina, Ioannina, Greece
  3. 3 Radiology, University General Hospital of Ioannina, Ioannina, Greece
  1. Correspondence to Dr Angelos A Arseniou, 1st Cardiology, University General Hospital of Ioannina, Ioannina 45500, Greece; angaars{at}yahoo.gr

https://doi.org/10.1136/heartjnl-2021-319589

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    Clinical introduction

    A woman in her 70s presented with acute right arm paresis. Her medical history was significant for diabetes mellitus, hypertension, dyslipidaemia and hypothyroidism, all well controlled with medication. For the previous 2 months she had fibromyalgia for which pregabalin 50 mg per day was prescribed with little improvement. Her ECG showed non-specific ST-T abnormalities, the high sensitivity cardiac troponin I (hs-cTnI) was moderately elevated and an increased eosinophil blood count (EBC) of 2.2 k/µl was noticed. Although the brain CT at the emergency department was negative, she was admitted with a working diagnosis of ischaemic stroke. The next day the patient’s symptoms abated. On day 3 a second brain CT showed a minor embolic lesion of the left hemisphere. Transthoracic echo detected a big mass of the left ventricle (LV) …

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    Footnotes

    • Contributors All three authors contributed to patient evaluation and management. AA drafted the initial manuscript, which was reviewed by TM and AG.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.