Clinical cardiology
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Clinical cardiology · Nov 2009
Case ReportsTraumatic brachiocephalic pseudoaneurysm presenting as stroke in a seventeen-year-old.
We present a 17-y-old male who presented to the emergency room with left arm weakness along with slurred speech. On physical examination, he had stable vital signs with left facial weakness suggestive of lower motor neuron seventh nerve palsy. He was also noted to have a small pulsatile mass in the right infraclavicular region. ⋯ Traumatic pseudoaneurysm with thrombus formation is an extremely rare cause of stroke. It has been reported in association with the carotid artery, but to our knowledge, this is the first reported case with isolated innominate artery pseudoaneurysm. This case highlights the need for a broad differential when evaluating young patients with neurological deficits.
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Clinical cardiology · Nov 2009
A new electrocardiographic algorithm to locate the occlusion in left anterior descending coronary artery.
Early prediction of proximal left anterior descending coronary artery (LAD) occlusion is essential from a clinical point of view ⋯ This sequential ECG algorithm based on ST-segment deviations in different leads allowed us to predict the location of occlusion in LAD with good accuracy. Cases with proximal LAD occlusion present the most markers of poor prognosis. We recommend the use of the algorithm in everyday clinical practice.