Subarachnoid Hemorrhage Misdiagnosed as an Acute ST Elevation Myocardial Infarction.
10.4070/kcj.2012.42.3.216
- Author:
Woon Je HEO
1
;
Jin Ho KANG
;
Woo Shin JEONG
;
Mi Yeon JEONG
;
Sang Hyuk LEE
;
Jeong Yeun SEO
;
Sang Won JO
Author Information
1. Department of Internal Medicine, Kangbuk Samsung Medical Center, Seoul, Korea. jinho2.kang@samsung.com
- Publication Type:Case Report
- Keywords:
Myocardial infarction;
Subarachnoid hemorrhage
- MeSH:
Central Nervous System;
Coronary Stenosis;
Electrocardiography;
Female;
Hematoma, Subdural;
Humans;
Myocardial Infarction;
Prognosis;
Subarachnoid Hemorrhage
- From:Korean Circulation Journal
2012;42(3):216-219
- CountryRepublic of Korea
- Language:English
-
Abstract:
Without significant coronary artery stenosis, ischemic electrocardiographic change including ST segment elevation, segmental wall motion abnormality and elevated serum cardiac-specific markers (creatine kinase-MB, Troponin-T) may develop after central nervous system injuries such as subarachnoid, intracranial or subdural hemorrhage. Misdiagnosing these patients as acute myocardial infarction may result in catastrophic outcomes. By reporting a case of a 55-year old female with subarachnoid hemorrhage mimicking acute ST elevation myocardial infarction, we hope to underline that careful attention of neurologic abnormality is critical in making better prognosis.
