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January 1, 2015Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology5 citationsOpen Access

Subarachnoid hemorrhage that electrocardiographically mimics acute coronary syndrome: a case report

EKErkan Köklü

Structured PICO

P
Population
1 64-year-old female presenting with syncope, unconsciousness, bradycardia, hypotension, and ECG showing AV complete block with ST elevations in leads II, III, and aVF.
I
Intervention
Coronary angiography followed by cranial computed tomography (CCT) and CCT angiography
O
Outcome
Diagnosis of subarachnoid hemorrhage

Subarachnoid hemorrhage can rarely present with syncope, AV complete block, and ST elevations mimicking STEMI, necessitating careful differential diagnosis in unconscious patients.

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.

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Cite This Study

Erkan Köklü (2015) studied this question.

synapsesocial.com/papers/6a0faf1a2badbc352afe8af1https://doi.org/10.5543/tkda.2015.26546
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