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KMID : 1100620150020040260
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Clinical and Experimental Emergency Medicine
2015 Volume.2 No. 4 p.260 ~ p.263
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Subarachnoid hemorrhage mimicking ST-segment elevation myocardial infarction after return of spontaneous circulation
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Park In-June
Kim Youn-Jung
Ahn Shin
Sohn Chang-Hwan
Seo Dong-Woo
Kim Won-Young
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Abstract
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Electrocardiogram changes in subarachnoid hemorrhage (SAH) have been described as ST-T changes that mimic acute coronary syndrome and even acute ST-segment elevation myocardial infarction. Elevation of cardiac enzymes and abnormality of regional myocardial wall motion have been reported frequently for SAH. We report a case of an out-of-hospital cardiac arrest survivor with high suspicion of ST-segment elevation myocardial infarction based on the electrocardiogram and bedside echocardiography, who had normal coronary arteries on emergent coronary angiography. The patient was ultimately diagnosed with SAH as a cause of out-of-hospital cardiac arrest.
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KEYWORD
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Electrocardiography, Subarachnoid hemorrhage, Heart arrest
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