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[Electrocardiographic abnormalities in subarachnoid hemorrhage]
J M Calvo-Romero1, R Fernández De Soria-Pantoja, J D Arrebola-García
1Servicio de Cardiología; Clideba, Badajoz, España.
Insights
Electrocardiographic abnormalities are common in subarachnoid hemorrhage (SAH), but acute myocardial infarction (AMI) patterns are rare. This case highlights the importance of considering cardiac complications in SAH patients.
Area of Science:
- Cardiology
- Neurology
Background:
- Subarachnoid hemorrhage (SAH) frequently presents with diverse electrocardiographic (ECG) abnormalities.
- These ECG changes are more prevalent in severe neurological impairment and myocardial damage.
Observation:
- A rare case of a 77-year-old patient with extensive SAH is presented.
- The patient exhibited an ECG pattern indicative of anterior transmural acute myocardial infarction (AMI).
Findings:
- The co-occurrence of SAH and ECG findings suggestive of AMI is uncommon.
- The patient experienced a fatal outcome within hours of presentation.
Implications:
- Cardiac complications, including myocardial ischemia, warrant increased attention in SAH management.
- ECG abnormalities in acute SAH do not exclusively signify primary cardiac pathology.
Introduction:
It has been described a great variety of electrocardiographic abnormalities in the acute phase of the subarachnoid hemorrhage (SAH), which are more frequent in patients with severe neurologic impairment and when there is myocardial damage. The presence of electrocardiographic tracings compatible with acute myocardial infarction (AMI) in the acute phase of the SAH is rare.
Clinical Case:
We present a 77-year-old patient with an extensive SAH and an electrocardiographic pattern suggesting anterior transmural AMI, with a fatal outcome in a few hours.
Conclusions:
It should pay more attention to the possibility of cardiac complications in the SAH. Myocardial ischemia and SAH may coexist. The presence of electrocardiographic abnormalities in the acute phase of the SAH is not always indicative of cardiac pathology.