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Updated: May 14, 2026

Polyelectrolyte Complex for Heparin Binding Domain Osteogenic Growth Factor Delivery

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Published on: August 22, 2016

Hold the heparin.

Nicholas Wettersten¹, Ezra Amsterdam

¹Department of Internal Medicine, University of California (Davis) Medical Center, Sacramento, CA 95817, USA.

Critical Pathways in Cardiology

|February 16, 2013

Summary

This summary is machine-generated.

Dynamic T-wave inversions on ECGs can mimic heart attacks but are nonspecific. This case highlights that intracranial bleeds, not just acute coronary syndrome, can cause these findings and elevated troponin.

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Area of Science:

Cardiology
Neurology
Emergency Medicine

Background:

Dynamic electrocardiographic T-wave inversions are often concerning for myocardial ischemia or infarction.
However, these ECG findings are nonspecific and can be associated with various conditions.

Observation:

A young man presented with headache and dizziness, exhibiting marked hypertension, deepening T-wave inversions, and elevated troponin.
Initial assessment raised concerns for acute coronary syndrome (ACS).

Findings:

Further evaluation revealed intraventricular hemorrhage on noncontrast computed tomography of the head.
This indicated that the ECG changes and troponin elevation were secondary to the intracranial bleed.

Implications:

T-wave inversions and troponin elevation in the context of intracranial hemorrhage are well-described phenomena.
It is crucial to consider a broad differential diagnosis, including intracranial bleeds, before initiating ACS treatment to prevent adverse outcomes.