{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T18:19:33Z","timestamp":1759774773864,"version":"3.40.4"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 58-year-old female with no history of heart disease was admitted to our hospital for abnormal ECG mimicking myocardial ischaemia. The ECG revealed persistent T-wave inversion in almost all leads, especially in precordial leads V<jats:sub>2<\/jats:sub>\u2013V<jats:sub>6<\/jats:sub>. The patient had no complaints of chest pain, chest distress, short of breath or other atypical myocardial ischaemia symptoms. She had a history of amyotrophic lateral sclerosis (ALS) with a disease course more than 20 years. Examinations help rule out other diseases causing persistent T-wave inversion. Importantly, cardiac catheterisation showed nearly normal coronary arteries that could rule out myocardial ischaemia. Accordingly, the authors presumed that the pseudo-ischaemic ECG was associated with ALS in this patient. The findings of the present case provide new evidence that autonomic nervous system may involve in the pathophysiological progress of ALS.<\/jats:p>","DOI":"10.1136\/bcr.01.2012.5543","type":"journal-article","created":{"date-parts":[[2012,2,28]],"date-time":"2012-02-28T14:19:33Z","timestamp":1330438773000},"page":"bcr0120125543","source":"Crossref","is-referenced-by-count":3,"title":["Pseudo-ischaemic ECG in a patient with amyotrophic lateral sclerosis surviving for a decade"],"prefix":"10.1136","volume":"2012","author":[{"given":"Jian","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi-Wei","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guang-Ru","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Jie","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,2,28]]},"reference":[{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.50.5663"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61156-7"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(11)70024-2"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.4","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(11)70049-7"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.5","doi-asserted-by":"publisher","DOI":"10.1159\/000007016"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.6","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2009.200519"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.7","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(10)70068-5"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.08.028"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpcardiol.2009.12.002"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2008.02327.x"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.autneu.2010.09.002"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.12","doi-asserted-by":"publisher","DOI":"10.3109\/17482960903390855"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.13","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1016\/S0140-6736(76)92199-1","article-title":"Letter: Amyotrophic lateral sclerosis and autonomic nervous system.","volume":"1","author":"Jokelainen","year":"1976","journal-title":"Lancet"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.14","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.48.11.1103"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.15","doi-asserted-by":"publisher","DOI":"10.1007\/BF00314326"},{"key":"2025042701345380000_2012.feb25_1.bcr0120125543.16","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(63)90281-9"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.01.2012.5543","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T08:35:05Z","timestamp":1745742905000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.01.2012.5543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,28]]},"references-count":16,"alternative-id":["10.1136\/bcr.01.2012.5543"],"URL":"https:\/\/doi.org\/10.1136\/bcr.01.2012.5543","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,2,28]]}}}