title: [Signs of myocardial ischemia associated with subarachnoid hemorrhage].
abstract: Electrocardiographic changes, left ventricular wall motion abnormalities, myocardial ischemia, myocytolysis and arrhythmias have been well documented in patients with cerebral bleed. These complications may be related to stimulation of autonomic nervous system and central nervous system. We report a case of a 38-year-old back woman without previous heart disease, taken to emergency unit with headache and subarachnoid Haemorrhage. One day after, she complained of retroesternal pain. An electrocardiographic tracing showed significant and diffuse ST-T wave abnormalities. The patient remained stable with no neurologic or cardiac deficits. She was treated with bed rest, nimodipine, isossorbide propranolol and is symptomless six months of follow-up.
authors.affiliation: Faculdade de Medicina da Universidade Federal de Goiás.
authors.forename: J J
authors.initials: JJ
authors.lastname: de Oliveira
authors.forename: S R
authors.initials: SR
authors.lastname: Silva
mesh_terms: D000328:Adult; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013345:Subarachnoid Hemorrhage / Q000150:complications*; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents
vernacular_title: Sinais de isquemia miocárdica associada a hemorragia subaracnóide.