Korean Circ J.  2011 Nov;41(11):681-684. 10.4070/kcj.2011.41.11.681.

Type 2 Myocardial Infarction Following Generalized Tonic-Clonic Seizure

• Park J
• Shin JH
• Kim SH
• Lim YH
• Lee JU
• Kim KS
• Kim SK
• Kim JH
• Lim HK
• Shin J

• KMID: 2225079
• DOI: http://doi.org/10.4070/kcj.2011.41.11.681

Abstract

Myocardial infarction is diagnosed when blood levels of biomarkers are increased in the clinical setting of acute myocardial ischemia. Among the biomarkers, troponin I is the preferred biomarker indicative of myocardial necrosis. It is tissue specific for the heart. Myocardial infarction is rarely reported following seizure. We report a case of elevated troponin I in a patient after an episode of generalized tonic-clonic seizure. The diagnosis was type 2 myocardial infarction.

Keyword

Epilepsy; Myocardial infarction; Troponin I; Coronary angiography

MeSH Terms

Biomarkers
Coronary Angiography
Epilepsy
Heart
Humans
Myocardial Infarction
Myocardial Ischemia
Necrosis
Seizures
Troponin I
Troponin I

Figure

• 

  Fig. 1 Fluid attenuated inversion recovery brain magnetic resonance image. This showed high signal intensity around a previous hemorrhage site in the left frontal lobe, indicating malatic change after hemorrhage without evidence of newly developed lesions.

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  Fig. 2 Computed tomography for coronary artery showing more than 50% stenosis of the middle left anterior descending artery (white arrow).

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  Fig. 3 Coronary angiography showed 30% stenosis in the middle left anterior descending artery in the left lateral oblique cranial view (white arrow) (A) and there was no stenosis of the right coronary artery (B).

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