Acute myocardial infarction complicating subarachnoid haemorrhage.
An acute myocardial infarction is a rare complication of a subarachnoid haemorrhage. The combination of these two conditions imposes important treatment dilemmas. We describe two patients with this combination of life-threatening conditions. Patient 1 was treated with emergency percutaneous coronary intervention followed by clipping of the anterior communicating artery aneurysm. Six months after discharge the patient's memory and orientation had almost completely recovered. Patient 2 was treated with aspirin until coiling of the aneurysm could be performed. After successful coiling low-molecular-weight heparin was added. One week later the patient died due to a free wall rupture. (Neth Heart J 2009;17:284-7.).
van der Velden
L B J
LB
Department of Cardiology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Otterspoor
L C
LC
Schultze Kool
L J
LJ
Biessels
G J
GJ
Verheugt
F W A
FW