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14 Possible Causes for Early Repolarization, Hypotension, Myoclonic Jerking

  • Cocaine Abuse

    A 55-year-old woman, a long-term cocaine abuser, presented with delirium, nausea, vomiting, hypoglycemia, hypercalcemia, and hypotension as manifestations of adrenal insufficiency[ncbi.nlm.nih.gov] Hypotension: Hypotension in a cocaine abuser is most often due to volume depletion. IV fluid resuscitation should be initiated with frequent reassessments.[clinicaladvisor.com] Dysrhythmias, acute myocardial infarction, myocarditis, hypertension, endocarditis, hypotensive shock, cerebral vascular accidents and dilated cardiomyopathy are several cardiovascular[bmcresnotes.biomedcentral.com]

  • Syncope

    jerking is common in syncope.[emed.ie] We reported a 75-year-old man who had recurrent syncope attacks secondary to hypotension and reduced plasma norepinephrine (NE) levels.[ncbi.nlm.nih.gov] Why is ‘Benign’ early repolarization not a benign condition in patients with syncope? Which children with syncope should be admitted? and many more….[emergencymedicinecases.com]

  • Carotid Sinus Syncope

    Patients in whom the cardiac arrest had lasted 14 seconds had 1 or 2 generalized myoclonic jerks.[ajnr.org] Do Not Do Recommendation Do not diagnose carotid sinus syncope if carotid sinus massage causes asymptomatic transient bradycardia or hypotension.[nice.org.uk] In patients with syncope, the clinical significance of the early repolarization pattern is unknown. Recommendations for Early Repolarization Pattern 5.[ahajournals.org]

  • Wilson Disease

    jerking similar to that seen in progressive myoclonic syndrome.[web.archive.org] […] movement and the gradual loss of spontaneous activity) Changes in walking pattern and posture Changes in speech and handwriting Loss of balance and increased falls Orthrostatic hypotension[webmd.com] […] lesions Abdominal imaging findings are neither sensitive nor specific Resting ECG abnormalities include left ventricular or biventricular hypertrophy, early repolarization[emedicine.com]

  • Torsades De Pointes

    The following day, nursing staff observed repetitive, short-lived episodes of generalized mild myoclonic jerks. The patient remained conscious during these episodes.[consultant360.com] Factors associated with hypotension and bradycardia after epidural blockade. Anesth Analg 1996;83:1033-40. 2. Liguori GA, Sharrock NE.[journals.lww.com] Therefore, in this context long or short QT syndrome, Brugada syndrome or early repolarization syndrome were unlikely. 6 Analysis of periods of torsade de pointes in our patient[revportcardiol.org]

  • Sick Sinus Syndrome

    Syncope may be accompanied by myoclonic jerks (convulsive syncope), but postictal confusion is absent.[ncbi.nlm.nih.gov] We present a case of Parkinson's disease patient whose initial symptoms were sick sinus syndrome and orthostatic hypotension.[ncbi.nlm.nih.gov] The simultaneous occurrence of V596M and R16472H may increase the severity of early repolarization.[ncbi.nlm.nih.gov]

  • Sudden Cardiac Death

    The following points need to be considered: Prompt recognition and diagnosis (brief seizure-like activity or involuntary myoclonic jerks have been reported in approximately[cry.ie] He remained severely hypotensive despite vasopressors and died after 5 hours CPR.[ncbi.nlm.nih.gov] Patients having major clinical events showed more frequent Brugada type patterns, early repolarization, and more diffuse multivessel coronary vasospasms.[ncbi.nlm.nih.gov]

  • Menkes Disease

    jerks, and multifocal epileptiform activity on the EEG.[ncbi.nlm.nih.gov] […] intellectual development, but have developed many of the more severe somatic abnormalities of the related disorder, occipital horn syndrome, including severe orthostatic hypotension[ncbi.nlm.nih.gov] […] lesions Abdominal imaging findings are neither sensitive nor specific Resting ECG abnormalities include left ventricular or biventricular hypertrophy, early repolarization[emedicine.medscape.com]

  • Hypertrichotic Osteochondrodysplasia

    jerks.[genomeweb.com] Hypotension due to Kir6.1 gain-of-function in vascular smooth muscle.[ncbi.nlm.nih.gov] Examples of J-wave disorders are arrhythmias associated with an early repolarization pattern in the inferior or mid to lateral precordial leads, Brugada syndrome, some cases[genecards.org]

  • Phencyclidine Intoxication

    jerks.[merckmanuals.com] However, the latter may cause hypotension or prolonged sedation. Excretion of amphetamine can be increased by acidifying the urine to pH 53 ).[basicmedicalkey.com] Motor symptoms are common and may include ataxia (impaired coordination of movement), athetosis (slow writhing movements), myoclonic jerks, and bizarre posture.[lycaeum.org]

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