Editorials |

Ventricular Arrhythmias Associated With CNS Disease

Anne L. Taylor, MD; Harry A. Fozzard, MD
Arch Intern Med. 1982;142(2):232-233. doi:10.1001/archinte.1982.00340150032006.
Text Size: A A A
Published online

Sudden death amidst powerful emotional arousal is a familiar and dramatic event in the literature, history, and folklore of most cultures. Although physicians and laymen have accepted this association of mind and mortality for centuries, the arrhythmogenic potential of strong emotions only recently has been physiologically explained. Lown et al1 have shown that psychological stress may be associated with increased sympathetic activity that can provoke ventricular arrhythmias and may lower the threshold of ventricular fibrillation. The relationship between the CNS and cardiac arrhythmias is not limited to moments of strong emotions, however. Structural disease of the CNS also may be associated with life-threatening arrhythmias, distinctive ECG changes, and histopathologic changes. These alterations can occur in the absence of organic heart disease, hypoxia, or electrolyte imbalance.2-9 This association, though less familiar, is of importance to the clinician who may be misled into administering therapy for the cardiac manifestation, while


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.