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http://dx.doi.org/10.4070/kcj.2012.42.3.216

Subarachnoid Hemorrhage Misdiagnosed as an Acute ST Elevation Myocardial Infarction  

Heo, Woon-Je (Department of Internal Medicine, Kangbuk Samsung Medical Center)
Kang, Jin-Ho (Department of Internal Medicine, Kangbuk Samsung Medical Center)
Jeong, Woo-Shin (Department of Internal Medicine, Kangbuk Samsung Medical Center)
Jeong, Mi-Yeon (Department of Internal Medicine, Kangbuk Samsung Medical Center)
Lee, Sang-Hyuk (Department of Internal Medicine, Kangbuk Samsung Medical Center)
Seo, Jeong-Yeun (Department of Internal Medicine, Kangbuk Samsung Medical Center)
Jo, Sang-Won (Department of Radilology, Kangbuk Samsung Medical Center)
Publication Information
Korean Circulation Journal / v.42, no.3, 2012 , pp. 216-219 More about this Journal
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.
Keywords
Myocardial infarction; Subarachnoid hemorrhage;
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