I read with interest the paper by A. Sharma and colleagues [1]. Electrocardiographic (ECG) changes mimicking an acute coronary syndrome are relatively common among patients with acute disorders of the central nervous system such as subarachnoid hemorrhage, stroke and status epilepticus. These changes are transient in most cases and are postulated to reflect a reversible, non-ischemic myocardial injury caused by the adrenergic storm and the activation of neurocardiogenic pathways triggered by the inciting CNS event.
