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Updated: Jul 12, 2026

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects
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Dilemma of ST-Segment Elevation and Subarachnoid Hemorrhage: A Case Report and Literature Review

Ghulam Mujtaba Ghumman1, Nagabindhu Aravapalli2, Fnu Salman1

  • 1Cardiovascular Disease, Mercy Health - St. Vincent Medical Center, Toledo, USA.

Cureus
|November 1, 2024
PubMed

Insights

ST-segment elevation myocardial infarction (STEMI) mimicking coronary vasospasm occurred in a patient with subarachnoid hemorrhage, leading to cardiac arrest. Coronary angiography revealed no obstructive coronary artery disease, suggesting vasospasm as the cause.

Area of Science:

  • Cardiology
  • Neurology

Background:

  • Acute ST-segment elevation myocardial infarction (STEMI) is a critical condition caused by coronary artery occlusion.
  • ST-segment elevation can transiently occur due to coronary vasospasm, sometimes associated with subarachnoid hemorrhage.

Observation:

  • A patient with subarachnoid hemorrhage presented with inferior ST-segment elevations and reciprocal lateral ST-depressions, indicative of STEMI.
  • This event progressed to complete heart block and ventricular fibrillation cardiac arrest.

Findings:

  • Coronary angiography demonstrated no obstructive coronary artery disease.
  • The clinical presentation mimicked STEMI but was ultimately attributed to coronary vasospasm.

Implications:

  • This case highlights a rare presentation of STEMI-like symptoms secondary to coronary vasospasm in the context of subarachnoid hemorrhage.
  • It underscores the importance of considering non-obstructive causes of ST-segment elevation in patients with neurological emergencies.

Keywords:
cardiac arresthemorrhagestemisubarachnoidvasospasm

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