BRADLEY F. BOEVE, M. D. , TERESA A. RUMMANS, M. D. , KEMUEL L

Slides:

Advertisements

Similar presentations

Malignant Hypertension as a Presenting Symptom of Takayasu Arteritis Talya Wolak, MD, Gabriel Szendro, MD, Luis Golcman, MD, Esther Paran, MD Mayo Clinic.

Advertisements

Marc H. Bivins, MD, Mark J. Callahan, MD Mayo Clinic Proceedings

Managing Cancer Pain: Basic Principles and Invasive Treatments

Rehabilitation in Multiple Sclerosis

Pursuing the Perfect Pacemaker

55-Year-Old Man With Anemia and Hemorrhagic Ascites

Kayser-Fleischer Rings in a Patient With Basal Cell Carcinoma: Fortuitous Diagnosis of Presymptomatic Wilson's Disease DAVID G. BRODLAND, M.D. Mayo.

Evaluation of Proteinuria

40-Year-Old Woman With a Solitary Cavitary Lung Lesion

Diagnostic Options for Assessment of Postmenopausal Bleeding

ELLEN K. BLAIR, M.D. Mayo Clinic Proceedings

Treatment of Alcohol Withdrawal in Hospitalized Patients

Survey of Physician Leadership and Management Education

68-Year-Old Woman With Dyspnea and Chest Pain

Commonly Asked Questions About Thyroid Function

Michele A. Hanson, M.D., Daniel A. Dumesic, M.D.

The Shrinking Lungs Syndrome in Systemic Lupus Erythematosus

Corticosteroids in the Treatment of Alcohol-Induced Rhabdomyolysis

64-Year-Old Man With Polyuria and Polydipsia

Practical Considerations for Managing Asthma in Adults

72-Year-Old Man With Anemia and Abdominal Pain

JOANNE H. VAN WOERT, M.D. Mayo Clinic Proceedings

Malignant Pleural Mesothelioma

Pulmonary Infiltrates and Eosinophilia Associated With Sulfasalazine

Deep Venous Thrombosis of the Arm After Intravenous Immunoglobulin Infusion: Case Report and Literature Review of Intravenous Immunoglobulin-Related Thrombotic.

Topical Analgesics in the Management of Acute and Chronic Pain

45-Year-Old Man With Dermatitis and Weight Loss

The “Spiked Helmet” Sign: A New Electrocardiographic Marker of Critical Illness and High Risk of Death Laszlo Littmann, MD, PhD, Michael H. Monroe, MD

Carotid Sinus Syndrome and Wrestling

Management of Graves' Ophthalmopathy With Optic Nerve Involvement

Photodynamic Therapy for Early Stage Central Type of Lung Cancer

Pancreatic Ductal Adenocarcinoma

Marc H. Bivins, MD, Mark J. Callahan, MD Mayo Clinic Proceedings

The Red Scalp Sign Mayo Clinic Proceedings

MIGUEL A. VALDOVINOS, M. D. , MICHAEL CAMILLERI, M. D. , BRUCE R

Dysarthria and Apraxia of Speech Associated With FK-506(Tacrolimus)

60-Year-Old Man With Rash

KEVIN G. MODER, M.D. Mayo Clinic Proceedings

Antidepressants and Brain Neurochemistry

Prolonged, Complete Remission After 2-Chlorodeoxyadenosine Therapy in a Patient With Refractory Essential Mixed Cryoglobulinemia Thomas C. Lee, M.D.,

Shih-Fen Chow, M.D., Charles H. McKenna, M.D. Mayo Clinic Proceedings

22- Year-Old Man With Abdominal Pain and Rash

Cyclophosphamide-Induced Hepatitis in Wegener's Granulomatosis

28-Year-Old Man With Severe Vertigo

Hepatocellular Carcinoma

Methylphenidate: Its Pharmacology and Uses

71-Year-Old Man With Syncope and Chronic Leg Edema

68-Year-Old Man With Impotence

Hepatitis C Genotypes: Current Trends and Future Implications

62-Year-Old Man With Fever and Cough

70-Year-Old Man With Abdominal Pain and Weight Loss

55-Year-Old Man With a Lung Lesion and Hemidysesthesia

Medical Treatment of Overactive Bladder: In Response

Mark A. Marinella, MD, Kenneth Greene, MD Mayo Clinic Proceedings

Mantle Cell Involvement of the Spleen

Squamous Cell Carcinoma of the Tongue

Preoperative Smoking Cessation: The Role of the Primary Care Provider

66-Year-Old Man With Inarticulate Speech

How Good Intentions Contributed to Bad Outcomes: The Opioid Crisis

30-Year-Old Man With Recurrent Episodes of Dyspnea

Guy S. Reeder, M.D. Mayo Clinic Proceedings

37-Year-Old Man With Painful Foot

Hypoxemia in Malignant Carcinoid Syndrome: A Case Attributed to Occult Lymphangitic Metastatic Involvement Dennis E. Amundson, D.O., Peter J. Weiss,

Autonomic Tone and Benefits of Cardiac Rehabilitation Programs

Guru Sonpavde, MD, Teresa G. Hayes, MD Mayo Clinic Proceedings

Peripheral Tissue Examination for Malignant Lesions of the Skin

Managing Cancer Pain: Basic Principles and Invasive Treatments

Esophagopericardial Fistulas

Prolonged QT Syndrome: Perioperative Management

Brugada-type Electrocardiographic Pattern Unmasked by Fever

Presentation transcript:

Electrocardiographic and Echocardiographic Changes Associated With Malignant Catatonia BRADLEY F. BOEVE, M.D., TERESA A. RUMMANS, M.D., KEMUEL L. PHILBRICK, M.D., MARK J. CALLAHAN, M.D. Mayo Clinic Proceedings Volume 69, Issue 7, Pages 645-650 (July 1994) DOI: 10.1016/S0025-6196(12)61341-X Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Initial electrocardiogram obtained on Nov. 11, 1991, during episode of vague chest pain in 69-year-old man. Creatine kinase concentration was increased to 803 U/L. Note that T-wave configuration and QTc interval are normal. Mayo Clinic Proceedings 1994 69, 645-650DOI: (10.1016/S0025-6196(12)61341-X) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Electrocardiogram obtained on Nov. 19, 1991, during cardiac and neurologic deterioration. Note deeply inverted T waves inferolaterally and prolonged QTc interval. Mayo Clinic Proceedings 1994 69, 645-650DOI: (10.1016/S0025-6196(12)61341-X) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Electrocardiogram obtained on Dec. 3, 1991, 2 weeks after patient's precipitous decline. Neuropsychiatric symptoms had considerably diminished. Note that inverted T waves and prolonged QTc are still present. Mayo Clinic Proceedings 1994 69, 645-650DOI: (10.1016/S0025-6196(12)61341-X) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Electrocardiogram obtained on Dec. 26, 1991, 5 weeks after patient's precipitous decline. Neuropsychiatric symptoms continued to resolve. Note that T-wave abnormality and prolonged QTc are no longer present. Mayo Clinic Proceedings 1994 69, 645-650DOI: (10.1016/S0025-6196(12)61341-X) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions