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October 1962

Unusual ECG Patterns in Rupture of Vertebral Artery Aneurysm

Author Affiliations


Staff Members of Medical Service, St. Mary's Hospital.

Arch Intern Med. 1962;110(4):523-525. doi:10.1001/archinte.1962.03620220115019

This case is presented to call attention to the possible correlation between intracranial vascular phenomena and electrocardiographic findings suggestive of myocardial ischemia. It is only in recent years that this possibility has been demonstrated, and the literature contains few reports of such demonstrations.

Report of a Case  The patient, first seen by us on Feb. 3, 1961, was a well-developed and moderately obese 47-year-old white woman who stated that she had enjoyed good health until this date, 2 days after the sudden death of her husband. She complained of a headache and stiffness of the neck, which had started with sudden and severe head pain and a short period of opisthotonos. There was no history of hypertension or other cardiovascular problems.On admission to St. Mary's Hospital, Centralia, Ill., her speech was coherent with no evidence of dysphasia. Her blood pressure was 160/100, and the pulse rate was 88 per