Subarachnoid hemorrhage that electrocardiographically mimics acute coronary syndrome: a case report
Erkan Köklü1, İsa Öner Yüksel1, Nermin Bayar1
1Department of Cardiology, Antalya Training and Research Hospital, Antalya, Turkey.
Insights
This case highlights subarachnoid hemorrhage mimicking a heart attack. It presented with syncope, atrioventricular block, and ST elevation, a rare presentation for cerebrovascular events.
Area of Science:
- Neurology
- Cardiology
- Medical Diagnostics
Background:
- Cerebrovascular events can cause electrocardiography (ECG) changes and cardiac enzyme elevation.
- Distinguishing neurological from cardiac events is crucial for timely and appropriate treatment.
Abstract:
Electrocardiography alterations and cardiac enzyme elevation have been reported in patients with cerebrovascular events in various articles. This case reports a case of syncope with an electrocardiography of atrioventricular complete block and extensive ST segment elevation. However, it was finally diagnosed as subarachnoid hemorrhage. To the best of our knowledge, this patient is the first case of subarachnoid hemorrhage mimicking ST elevation myocardial infarction with atrioventricular complete block.
