title: Neurogenic pulmonary edema and large negative T waves associated with subarachnoid hemorrhage.
abstract: We describe a 72-year-old woman with hypertension who developed acute neurogenic pulmonary edema and giant negative T waves on electrocardiography (ECG) due to subarachnoid hemorrhage. The patient was alert and complained of precordial chest discomfort, dyspnea and shoulder stiffness. Echocardiography demonstrated normal left ventricle contraction with hypertrophy. Computed tomography (CT) and subsequent cerebral angiography revealed subarachnoid hemorrhage and saccular aneurysm at the anterior communicating artery. It is important to consider the possibility of subarachnoid hemorrhage when a patient shows pulmonary edema and ECG abnormalities even without typical clinical signs of subarachnoid hemorrhage.
authors.affiliation: Department of Cardiology, Jichi Medical School, Kawachi-gun, Tochigi.
authors.forename: M
authors.initials: M
authors.lastname: Takahashi
authors.forename: T
authors.initials: T
authors.lastname: Mitsuhashi
authors.forename: T
authors.initials: T
authors.lastname: Katsuki
authors.forename: U
authors.initials: U
authors.lastname: Ikeda
authors.forename: H
authors.initials: H
authors.lastname: Tanaka
authors.forename: G
authors.initials: G
authors.lastname: Kusaka
authors.forename: T
authors.initials: T
authors.lastname: Aoki
authors.forename: K
authors.initials: K
authors.lastname: Shimada
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D011654:Pulmonary Edema / Q000209:etiology* / Q000503:physiopathology; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed