A case of subarahnoid hemorrhage with persistent shock and transient ST elevation simulating acute myocardial infarction.
Electrocardiographic changes in neurovascular disease are not rare. Patients with subarachnoid hemorrhage have electrocardiographic (ECG) abnormalities that may mimic ischemic heart disease and acute myocardial infarction. Outflow of catecholamines in the early stage of subarachnoid hemorrhage contributes to elevated blood pressure in most patients. Hypotension is a rare presentation in subarachnoid hemorrhage. We report a case of subarachnoid hemorrhage with transient ST elevation and intractable shock simulating acute myocardial infarction, and review the mechanism of ECG changes in subarachnoid hemorrhage.
Lee
Hsiang-Chun
HC
Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Yen
Hsueh-Wei
HW
Lu
Ye-Hsu
YH
Lee
Kun-Tai
KT
Voon
Wen-Chol
WC
Lai
Wen-Ter
WT
Sheu
Sheng-Hsiung
SH
D000368:Aged; D003937:Diagnosis, Differential; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D009203:Myocardial Infarction / Q000175:diagnosis; D012769:Shock / Q000209:etiology*; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis* / Q000209:etiology