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Cerebrovascular damage can cause cardiac arrhythmias related to disinhibition of right insular cortex with resulting increased sympathetic tone. 2012 Dec;7(4):290-4. 2012 Dec;7(4):290-4. In that study commonest ECG abnormalites were QTc prolongation followed by brady/tachycardia and then ST segment deviations [3].
Though sinus bradycardia is usual, other abnormalities like sinus arrhythmia, sinus arrest, wandering atrial pacemaker and coronary sinus rhythm have been described. 2012 Jun;98(12):947-55. Athlete’s bradycardia due to increased parasympathetic tone and decreased sympathetic tone is a well-known observation. References 1.Prior
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