Electrocardiographic findings associated with neurological pathology and other T-wave catastrophes

Wesley D. Davis, Bradley Goettl, Leah Bowden

Research output: Contribution to journalArticlepeer-review


An 87-year-old female patient presented with altered mental status. During the routine workup for altered mental status, an electrocardiogram (ECG) was obtained. The ECG showed T-wave morphology known to be consistent with myocardial infarction. Although the ECG is a crucial diagnostic tool to recognize myocardial ischemia and infarction promptly, it must be understood that T-wave abnormalities can represent noncardiac pathology. A case presentation illustrates a unique ECG change whose presence is associated with catastrophic central nervous system diseases that cause increased intracranial pressure.

Original languageEnglish (US)
Pages (from-to)212-216
Number of pages5
JournalAdvanced Emergency Nursing Journal
Issue number3
StatePublished - Jul 2021


  • Altered mental status
  • Electrocardiogram
  • Increased intracranial pressure
  • Intracranial hemorrhage
  • Myocardial infarction

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency


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