Subarachnoid hemorrhage simulating myocardial infarction.
We describe a patient with a subarachnoid hemorrhage that presented with electrocardiographic evidence of transmural myocardial infarction. The patient was found to have normal coronaries and on autopsy revealed generalized myocytolysis with no evidence of transmural myocardial infarction. This case illustrates the value of acute coronary angiography in patients with altered mental status and suspected myocardial infarction.
de Marchena
E
E
Department of Medicine, University of Miami School of Medicine, Florida 33101, USA.
Pittaluga
J M
JM
Ferreira
A C
AC
Lowery
M
M
Romanelli
R
R
Morales
A
A
D000328:Adult; D003937:Diagnosis, Differential; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology