Isolated Hyperacute T-Waves in West Nile Encephalitis Indicating Atypical Variant of Stress-Induced Cardiomyopathy  

作　　者：Soomal Rafique Nadeem Khan Momin Siddique Soomal Rafique;Nadeem Khan;Momin Siddique(School of Medicine, Southern Illinois University, Springfield, USA)

机构地区：[1]School of Medicine, Southern Illinois University, Springfield, USA

出　　处：《Journal of Biosciences and Medicines》2024年第2期303-310,共8页生物科学与医学（英文）

摘　　要：Several cardiac outcomes have been reported with West Nile-encephalitis;however, the underlying pathophysiology remains complex. We present a 42-year-old female, with multiple sclerosis, whose neurological symptoms and respiratory decline were finally explained by the diagnosis of West Nile-encephalitis. During her admission, the isolated peaked T-waves indicated the underlying stress-induced cardiomyopathy. The absence of all other causes of hyperacute T-waves, their subsequent resolution with the resolution of infection and improvement in wall motion abnormalities, further supported the association. This case highlights the importance of considering hyperacute T-waves in an approach towards the diagnosis of WNV-encephalitis related atypical variant of stress-induced cardiomyopathy.Several cardiac outcomes have been reported with West Nile-encephalitis;however, the underlying pathophysiology remains complex. We present a 42-year-old female, with multiple sclerosis, whose neurological symptoms and respiratory decline were finally explained by the diagnosis of West Nile-encephalitis. During her admission, the isolated peaked T-waves indicated the underlying stress-induced cardiomyopathy. The absence of all other causes of hyperacute T-waves, their subsequent resolution with the resolution of infection and improvement in wall motion abnormalities, further supported the association. This case highlights the importance of considering hyperacute T-waves in an approach towards the diagnosis of WNV-encephalitis related atypical variant of stress-induced cardiomyopathy.

关 键 词：West Nile Virus encephalitis WNV Hyperacute T-Waves Takotsubo Cardiomyopathy Atypical/Inverted Variant of Stress-Induced Cardiomyopathy CMP 

分 类 号：R57[医药卫生—消化系统]