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QJM Advance Access originally published online on August 20, 2009
QJM 2009 102(11):807-809; doi:10.1093/qjmed/hcp109
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© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

The nervous heart: a case report and discussion of an under-recognized clinical problem

S. Agarwal1, A. Lyon2, P. Nachev1 and A. Everitt1

From the 1Department of Neurology and 2Department of Cardiology, St Mary's Hospital, London, UK

Address correspondence to S. Agarwal, Department of Neurology, St Mary's Hospital, London, UK. email: smriti.agarwal@mac.com

The first 10% of the full text of this article appears below.

A 73-year-old Caucasian woman admitted to the neurology ward with Guillain–Barré syndrome (GBS) developed acute breathlessness 7 days after the onset of symptoms. Initial presentation was with symmetrical lower limb weakness, patchy sensory loss, absent tendon reflexes, normocellular cerebrospinal fluid (CSF) with raised protein (1.05 gm/l) and absent of waves on electromyography. There were no other associated cardiac symptoms, no neuromuscular respiratory weakness, normal neck muscle power, stable vital capacity and no hypercapnia on arterial blood gas analysis. She was a smoker. No arrhythmias were detected with continuous electrocardiogram (ECG) monitoring that is initiated on admission in the view of the well-recognized risk of autonomic dysfunction with GBS.1

On . . . [Full Text of this Article]


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