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A case of subarachnoid hemorrhage with electrocardiographic and echocardiographic changes simulating transmural
T Yamaguchi1, Y Shimizu, N Ono
1Department of Cardiology, Yamada Red Cross Hospital, Watarai, Japan.
Insights
Subarachnoid hemorrhage can cause myocardial infarction-like symptoms. Coronary angiography revealed no blockages, confirming the damage was due to the hemorrhage, with wall motion improving post-treatment.
Area of Science:
- Cardiology
- Neurology
- Medical Imaging
Background:
- Subarachnoid hemorrhage (SAH) is a serious neurological condition.
- SAH can present with symptoms mimicking myocardial infarction (MI).
- Distinguishing SAH-induced cardiac dysfunction from true MI is clinically important.
Abstract:
A patient with subarachnoid hemorrhage who exhibited changes suggestive of myocardial infarction by electro- and echocardiography and underwent coronary angiography is reported. Echocardiography demonstrated marked hypokinesis in the left ventricular anterior wall to the septum. Since the possibility of concomitant myocardial infarction could not be excluded, coronary angiography was performed with cerebral angiography. No abnormalities were observed in the coronary arteries, and the myocardial damage was considered to be due to subarachnoid hemorrhage. Echocardiograms showed improvements in left ventricular wall motion within a short time after operation of the intracranial lesion.