Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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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)
  • Published : 2012.03.31
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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

References

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