Abnormal Q wave, ST-segment elevation, T-wave inversion, and widespread focal myocytolysis associated with subarachnoid hemorrhage.
A 74-year-old Japanese woman with subarachnoid hemorrhage was admitted to our hospital. During her hospitalization, serial electrocardiograms showed the combination of abnormal Q waves, ST-segment elevation, and T-wave inversion, which strongly suggested acute myocardial infarction. However, postmortem examination revealed widespread focal myocytolysis of the myocardium which was unrelated to vascular distribution.
Sakamoto
H
H
Institute for Adult Diseases, Asahi Life Foundation, Tokyo, Japan.
Nishimura
H
H
Imataka
K
K
Ieki
K
K
Horie
T
T
Fujii
J
J
D000368:Aged; D016923:Cell Death; D004562:Electrocardiography; D005260:Female; D006321:Heart / Q000503:physiopathology*; D006801:Humans; D007564:Japan; D009203:Myocardial Infarction / Q000175:diagnosis / Q000473:pathology; D009206:Myocardium / Q000473:pathology*; D011859:Radiography; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*