Why the study?
Diagnosis of subarachnoid hemorrhage can be delayed due to associated cardiogenic abnormalities, carrying devastating consequences of misdiagnosis.
Subarachnoid hemorrhage can present with ST elevation mimicking acute coronary syndrome, highlighting the importance of considering non-cardiac causes in patients with neurological symptoms.
ST-elevation with altered consciousness warrants SAH consideration before catheterization; leaves open prospective diagnostic algorithms in comatose patients.
Subarachnoid hemorrhage (SAH) represents a medical emergency. Unfortunately, diagnosis can be delay due to cardiogenic abnormalities often associated with SAH. Cardiac manifestations are heterogeneous and common in patients with SAH. This phenomenon has not to be underestimated taking into account the devastating consequences of misdiagnosis and delay in the correct diagnosis and in a specific treatment, with serious and life-threatening consequences. We present a case report of an out of hospital ST elevation in a patient with Glasgow coma score of 6. He was primarily managed as an acute coronary syndrome case. However, coronary angiography was normal. After performing a computed tomography scan, the diagnosis of SAH was made.
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Brogi et al. (2020) studied this question.
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