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Updated: Apr 18, 2026

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
Takotsubo cardiomyopathy secondary to intracranial hemorrhage
Mai Shimada1, Jonathan D Rose2
1Maimonides Medical Center, New York 11219, NY, USA.
Insights
Aneurysmal subarachnoid hemorrhage can cause Takotsubo cardiomyopathy, mimicking heart attacks. Awareness of this link is crucial for timely diagnosis and treatment in patients with subarachnoid hemorrhage.
Area of Science:
- Cardiology
- Neurology
- Critical Care Medicine
Background:
- Aneurysmal subarachnoid hemorrhage (SAH) frequently causes electrocardiogram (ECG) abnormalities resembling cardiac ischemia.
- Left ventricular regional wall-motion dysfunction is an infrequently reported complication of SAH.
Purpose of the Study:
- To increase awareness of potential ECG changes associated with SAH.
- To highlight the association between SAH and Takotsubo cardiomyopathy (TCM).
Main Methods:
- Case report of a 55-year-old female patient with acute aneurysmal subarachnoid hemorrhage.
- Evaluation complicated by the development of Takotsubo cardiomyopathy.
Main Results:
- The patient's aneurysmal subarachnoid hemorrhage was complicated by Takotsubo cardiomyopathy.
- Takotsubo cardiomyopathy presented similarly to acute ST-elevation myocardial infarction.
Conclusions:
- Aneurysmal subarachnoid hemorrhage can induce Takotsubo cardiomyopathy.
- Physicians must recognize this association to avoid diagnostic delays and ensure appropriate patient management.
Abstract:
Patients suffering from aneurysmal subarachnoid hemorrhage often present with electrocardiogram (ECG) abnormalities that mimic cardiac ischemia, but documented left ventricular regional wall-motion dysfunction has rarely been reported. This report is intended to raise the awareness of possible ECG changes secondary to subarachnoid hemorrhage (SAH). We cared for a 55-year-old female with an acute aneurysmal subarachnoid hemorrhage, whose evaluation was delayed and complicated by the presence of Takotsubo cardiomyopathy (TCM). Aneurysmal subarachnoid hemorrhage may induce Takotsubo cardiomyopathy that can present as an acute ST-elevation myocardial infarction. Physicians need to be aware of this possibility since it can lead to significant delays and treatment options for the patient.
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