Primary intracranial hemorrhage presenting as acute myocardial ischemic syndrome.
- Author:
Eun Sang KUWON
1
;
Sim Mi LAN
;
Hyun Joo SHIN
;
Eyi Soo HONG
;
Jeong Kee SEO
;
Seong Wook JO
;
June KWAN
;
Keum Soo PARK
;
Woo Hyung LEE
Author Information
1. Department of Internal Medicine, Inha University Medical College, Inchon, Korea.
- Publication Type:Case Report
- Keywords:
Acute myocardiac infarction;
intracranial hemorrhage
- MeSH:
Adult;
Brain;
Coronary Angiography;
Coronary Vasospasm;
Coronary Vessels;
Echocardiography;
Electrocardiography;
Emergency Service, Hospital;
Female;
Heart Ventricles;
Humans;
Intracranial Hemorrhages*;
Myocardial Infarction;
Phenobarbital;
Subarachnoid Hemorrhage
- From:Korean Journal of Medicine
1998;55(5):951-955
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 44 years old woman was admitted to Inha University hospital in semicomatose state. An electrocardiogram (ECG), taken in the emergency room, showed ST segment elevation in the precordial leads. She underwent a urgent echocardiography. It showed that there was akinesia of anteroseptal segment from the mid left ventricle to the apex and inferior segment from the mid left ventrile to the lower mid left ventricle. With the impression of acute myocardial infarction (AMI), she underwent a urgent coronary angiography. There was no significant luminal narrowing of the right or the left coronary arteries but the left ventriculography revealed akinesia of anterolateral and diaphragmatic segments of the left ventricle. Computerized tomography (CT) of the brain, taken shortly after coronary angiography, showed subarachnoid hemorrhage. The abnormal ECG and echocardiography findings, simulating acute myocardial infarction, were assumed to be caused by coronary vasospasm derived from subarachnoid hemorrhage accompanied by massive adrenergic discharge.
