[A 40-year-old female with headache and infarction ECG].
Cerebral lesions may contribute to a transient left ventricular ballooning syndrome that can mimic acute myocardial infarction. Fibrinolytic therapy or GP IIb/IIIa antagonists should be withheld in cases of neurologic disorder or unconsciousness even in the presence of ST-elevation.ECG transmission by telemetry and myocardial infarction alarm networks allow correct diagnosis and catheter treatment within required time limits.
Miljak
T
T
Klinik für Innere Medizin III, Schwarzwald-Baar Klinikum, Vöhrenbacher Strasse 23, 78050, Villingen-Schwenningen, Germany. tomislav.miljak@sbk-vs.de
Birkemeyer
R
R
Jung
W
W
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis*; D001926:Brain Death; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006261:Headache / Q000209:etiology*; D006323:Heart Arrest / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis*; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis*; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D017585:Ultrasonography, Doppler, Transcranial