Subarachnoid haemorrhage mimicking a STEMI.
A 50-year-old healthy woman presented with typical ECG findings of a ST elevation myocardial infarction, further to an abnormal anterior wall motion and elevated specific cardiac markers. A cerebral computed tomography scan revealed a subarachnoid and intraventricular haemorrhage due to a ruptured distal internal carotid aneurysm. The following report shows a rare case, in which subarachnoid haemorrhage mimics an acute ST elevation myocardial infarction.
1 Department of Pneumology, Regional hospital Hochzirl-Natters, Austria.
Katharina
K
Cima
2 University Clinic of Radiology, Medical University of Innsbruck, Austria.
Astrid
A
Grams
3 University Clinic of Internal Medicine III, Cardiology and Angiology, Medical University of Innsbruck, Austria.
Bernhard
B
Metzler
D000208:Acute Disease; D001921:Brain / Q000000981:diagnostic imaging*; D002533:Cerebral Angiography / Q000379:methods*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging*; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis*; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed / Q000379:methods*
ST elevation myocardial infarction (STEMI); aneurysmal subarachnoid haemorrhage (SAH)