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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2014; 2(6): 211-214
Published online Jun 16, 2014. doi: 10.12998/wjcc.v2.i6.211
Published online Jun 16, 2014. doi: 10.12998/wjcc.v2.i6.211
Abnormal electrocardiogram in a patient with amyotrophic lateral sclerosis mimicking myocardial ischaemia
Juana Martínez, César Ramón, Julio Pascual, Germán Morís, Neurology Department, Hospital Universitario Central Asturias, 33006 Oviedo, Spain
César Morís, Cardiology Department, Hospital Universitario Central Asturias, 33006 Oviedo, Spain
Author contributions: Martinez J and Morís G contributed to conception and design case history, data, medical care of the patient, drafting case history and revising article for intellectual content; Ramón C and Pascual J contributed to conception and design case history, revising article for intellectual content; Morís C contributed to collection of cardiological data, revision of the manuscript for intellectual content; all authors contributed to final approval of the version to be published.
Correspondence to: Germán Morís, MD, Neurology Department, Hospital Universitario Central Asturias, HUCA. C/Celestino Villamil s/n, 33006 Oviedo, Spain. gmorist@gmail.com
Telephone: +34-98-5108000 Fax: +34-98-5109479
Received: January 5, 2014
Revised: March 26, 2014
Accepted: May 8, 2014
Published online: June 16, 2014
Processing time: 165 Days and 23.7 Hours
Revised: March 26, 2014
Accepted: May 8, 2014
Published online: June 16, 2014
Processing time: 165 Days and 23.7 Hours
Core Tip
Core tip: A few cases showing electrocardiogram (ECG) abnormalities in amyotrophic lateral sclerosis (ALS) patients have been previously reported suggesting an autonomic disturbance in ALS. We present an ALS patient with abnormal ECG mimicking myocardial ischaemia, in whom both coronary disease and cardiac anatomic damage were ruled out supporting the autonomic nervous system involvement in this mainly motor neuron disease.