Article Text

Download PDFPDF
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

Statistics from Altmetric.com

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) …

View Full Text

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.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.