Image Based Question-67249

A patient presented with altered level of consciousness.ECG shows the following picture.What can be the most probable diagnosis?

A. Myocardial Infarction.

B. Cardiac Tamponade.

C. Hypokalemia.

D. Raised Intracranial Pressure.

Correct Answer » D Explanation

Ans: D. Raised Intracranial Pressure.

Raised ICP

It is associated with certain characteristic ECG changes:

• Widespread giant T-wave inversions (“cerebral T waves”).
• QT prolongation.
• Bradycardia

Causes:

• Subarachnoid haemorrhage
• Intraparenchymal haemorrhage (haemorrhagic stroke)
• Massive ischaemic stroke causing cerebral oedema (e.g. MCA occlusion)
• Traumatic brain injury
• Cerebral metastases (rarely)