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Massive J-waves in the context of intracranial hemorrhage

Bryce Alexander1, Samantha Britton1, Raimundo Barbosa-Barros2

  • 1Department of Medicine, Queen's University, Kingston, Ontario, Canada.

Journal of Electrocardiology
|October 9, 2016
PubMed

Insights

Transient ST-segment elevation can mimic heart attacks but may signal intracranial hemorrhage. Prompt diagnosis is crucial for appropriate treatment, as therapies differ significantly between these conditions.

Area of Science:

  • Cardiology
  • Neurology
  • Emergency Medicine

Background:

  • Transient ST-segment elevation on electrocardiograms (ECGs) typically suggests acute myocardial infarction.
  • However, non-ischemic etiologies can also manifest with ST-segment changes, necessitating differential diagnosis.

Observation:

  • A patient presented with massive transient J-waves and ST-segment elevation.
  • These ECG findings occurred in the context of an intracranial hemorrhage.

Findings:

  • The case highlights intracranial hemorrhage as a cause of transient ST-segment elevation and J-waves.
  • This presentation can be mistaken for acute coronary syndrome.

Implications:

  • Recognizing intracranial hemorrhage as a cause of ST-segment changes is critical for patient management.
  • Timely and accurate diagnosis ensures appropriate, potentially life-saving, therapeutic interventions are initiated promptly.

Keywords:
Atrial fibrillationIntracranial hemorrhageJ-wavesOsborn wavesVentricular tachycardia

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