Key result
Transient J wave-like ST-segment elevation, typically associated with primary ischemic heart diseases, can also occur in patients with intracerebral hemorrhage.
Why the study?
Certain cerebrovascular events can induce electrocardiography abnormalities and cardiac dysfunction, but presenting with transient J wave-like ST-segment elevation is noteworthy.
Case Report (n=1)
No
J wave-like ST-segment elevation can occur in intracerebral hemorrhage and should be differentiated from acute myocardial infarction to avoid unnecessary cardiac catheterization.
Alerts clinicians to ICH as potential mimic of ischemic J-wave elevation; leaves open whether ECG changes warrant altered management or further study.
BACKGROUND: Certain cerebrovascular events can induce electrocardiography (ECG) abnormalities and cardiac dysfunction. The most frequent patterns reported are nonspecific ST-T change, inverted or broad T wave, prolongation of QT interval as well as ST-segment depression or elevation. Here we present a case of intracerebral hemorrhage (ICH) with transient J wave-like ST-segment elevation accompanied by myocardial lesion. CASE PRESENTATION: A 58-year-old woman was admitted to our hospital and diagnosed with right basal ganglia region cerebral hemorrhage. The ECG recorded on the second hospital day showed transient J wave-like ST-segment elevation accompanied by increased myocardial troponin I and myocardial enzyme. CONCLUSIONS: The J wave-like ST-segment elevation may be not a specific ECG signs for primary ischemic heart diseases as it also could be found in ICH patients. We believe that the follow-up ECGs can be used in conjunction with repeated myocardial enzyme analysis and echocardiography to differentiate ICH-ralated J wave-like ST-segment elevation from acute myocardial infarction (AMI), thus avoiding unnecessary cardiac catheterization.
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Du et al. (2022) conducted a case report in Intracerebral hemorrhage (n=1). Intracerebral hemorrhage was evaluated. Transient J wave-like ST-segment elevation, typically associated with primary ischemic heart diseases, can also occur in patients with intracerebral hemorrhage.
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