title: A case of subarahnoid hemorrhage with persistent shock and transient ST elevation simulating acute myocardial infarction.
abstract: 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.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors.forename: Hsiang-Chun
authors.initials: HC
authors.lastname: Lee
authors.forename: Hsueh-Wei
authors.initials: HW
authors.lastname: Yen
authors.forename: Ye-Hsu
authors.initials: YH
authors.lastname: Lu
authors.forename: Kun-Tai
authors.initials: KT
authors.lastname: Lee
authors.forename: Wen-Chol
authors.initials: WC
authors.lastname: Voon
authors.forename: Wen-Ter
authors.initials: WT
authors.lastname: Lai
authors.forename: Sheng-Hsiung
authors.initials: SH
authors.lastname: Sheu
mesh_terms: 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