title: Subarachnoid hemorrhage mimicking myocardial infarction.
abstract: We discuss a patient with an aneurysmal subarachnoid hemorrhage (SAH) presenting with chest pain, electrocardiogram changes compatible with myocardial infarction, and headache. SAH is a medical emergency but an initial misdiagnosis is common, and diagnosis can be delayed due to atypical presentations. The delay of diagnosis of SAH may endanger the life of the patient. Electrocardiogram abnormalities have been described previously in aneurysmal SAH, and can obscure the correct diagnosis.
authors.affiliation: Department of Neurology, Rabin Medical Center, Campus Beilinson, Jabotinsky 39, Petach Tiqva 49000, Israel. Electronic address: felixbenninger@gmail.com.
authors.forename: Felix
authors.initials: F
authors.lastname: Benninger
authors.affiliation: Department of Neurology, Rabin Medical Center, Campus Beilinson, Jabotinsky 39, Petach Tiqva 49000, Israel.
authors.forename: Guy
authors.initials: G
authors.lastname: Raphaeli
authors.affiliation: Department of Neurology, Rabin Medical Center, Campus Beilinson, Jabotinsky 39, Petach Tiqva 49000, Israel.
authors.forename: Israel
authors.initials: I
authors.lastname: Steiner
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis* / Q000503:physiopathology*
keywords: Electrocardiogram; Headache; Subarachnoid haemorrhage; Xanthochromia