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ST elevation in neurogenically stunned myocardium
  1. Sudhir S Shetkar,
  2. S Ramakrishnan
  1. Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr S Ramakrishnan, Department of Cardiology, All India Institute of Medical Sciences, New Delhi 110029, India; ramakgmc{at}rediffmail.com

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A 48-year-old woman was admitted with diagnosis of tubercular meningitis with multiple cerebral granulomas. She had acute onset respiratory distress and hemodynamic collapse. Patient was mechanically ventilated and started on inotropes. Examination showed heart rate of 120/min, blood pressure of 90/56 mm Hg, left ventricular (LV) S3 and bilateral basal rales. A 12-lead electrocardiogram showed new-onset global ST elevations (figure 1A,B). A bedside troponin assay was negative. To rule out an acute myocardial infarction, a coronary angiography was done, which revealed normal coronaries …

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