A 62-year-old loses consciousness in the street and resuscitative efforts are undertaken. In the emergency room an electrocardiogram is obtained, part of which is shown below. Which of the following disorders could account for this Man's presentation?
Ans. (c) Intracerebral hemorrhage.* In the scenario given either the patient had a tachyarrhythmia or a stroke* If you at the ECG bradycardia is seen which favors stroke since stroke has cushing reflex* QT interval of the patient is a whopping 600 msec ( 400-430 msec)* Choice A, B and D are ruled out since there is no risk factor for potassium deficit or development of tetany and neither digitalis toxicity* The question is based on whether you are aware of the fact that QT prolongation occurs in strokeCauses of QT prolongation* Hypokalemia* Hypomagnesemia* Hypocalcemia* Hypothermia* Myocardial ischemia* Postcardiac arrest* Raised intracranial pressure* Congenital long QT syndrome* Drugs
Hypokalemia
Hypocalcemic tetany
Intracerebral hemorrhage
Digitalis toxicity
Electrocardiography