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KMID : 0368120120420030216
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Korean Circulation Journal
2012 Volume.42 No. 3 p.216 ~ p.219
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Subarachnoid Hemorrhage Misdiagnosed as an Acute ST Elevation Myocardial Infarction
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Heo Woon-Je
Kang Jin-Ho
Jeong Woo-Shin
Jeong Mi-Yeon
Lee Sang-Hyuk
Seo Jeong-Yeun
Jo Sang-Won
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Abstract
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Without significant coronary artery stenosis, ischemic electrocardiographic change including ST segment elevation, segmental wall motion abnormality and elevated serum cardiac-specific markers (creatine kinase-MB, Troponin-T) may develop after central nervous system injuries such as subarachnoid, intracranial or subdural hemorrhage. Misdiagnosing these patients as acute myocardial infarction may result in catastrophic outcomes. By reporting a case of a 55-year old female with subarachnoid hemorrhage mimicking acute ST elevation myocardial infarction, we hope to underline that careful attention of neurologic abnormality is critical in making better prognosis.
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KEYWORD
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Myocardial infarction, Subarachnoid hemorrhage
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