Key result
A patient with subarachnoid hemorrhage presented with ECG evidence of transmural MI but had normal coronaries and generalized myocytolysis on autopsy, highlighting the value of acute angiography.
Why the study?
Does acute coronary angiography help differentiate subarachnoid hemorrhage from myocardial infarction in patients with altered mental status and ECG changes?
Case Report (n=1)
Does acute coronary angiography help differentiate subarachnoid hemorrhage from myocardial infarction in patients with altered mental status and ECG changes?
Subarachnoid hemorrhage can simulate transmural myocardial infarction on ECG, highlighting the diagnostic value of acute coronary angiography in patients with altered mental status.
May support acute coronary angiography in SAH with MI-like ECG changes; hypothesis-generating for neurogenic myocytolysis as a mimic.
We describe a patient with a subarachnoid hemorrhage that presented with electrocardiographic evidence of transmural myocardial infarction. The patient was found to have normal coronaries and on autopsy revealed generalized myocytolysis with no evidence of transmural myocardial infarction. This case illustrates the value of acute coronary angiography in patients with altered mental status and suspected myocardial infarction.
No takes yet. Share an insight, caveat, or question.
Marchena et al. (1996) conducted a case report in Subarachnoid hemorrhage simulating myocardial infarction (n=1). Acute coronary angiography was evaluated on Coronary anatomy and autopsy findings. A patient with subarachnoid hemorrhage presented with ECG evidence of transmural MI but had normal coronaries and generalized myocytolysis on autopsy, highlighting the value of acute angiography.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: