1. Subarachnoid Hemorrhage Misdiagnosed as an Acute ST Elevation Myocardial Infarction
- Author
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Sang Won Jo, Mi Yeon Jeong, Sang Hyuk Lee, Woon Je Heo, Woo Shin Jeong, Jin Ho Kang, and Jeong Yeun Seo
- Subjects
medicine.medical_specialty ,Subarachnoid hemorrhage ,business.industry ,Subdural hemorrhage ,Case Report ,Creatine ,medicine.disease ,Electrocardiographic Change ,Surgery ,chemistry.chemical_compound ,Myocardial infarction ,chemistry ,St elevation myocardial infarction ,Internal medicine ,Internal Medicine ,medicine ,Cardiology ,ST segment ,cardiovascular diseases ,Abnormality ,Cardiology and Cardiovascular Medicine ,business - 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.
- Published
- 2011