Key result
Subarachnoid hemorrhage can cause acute cardiac abnormalities mimicking myocardial ischemia, including electrocardiographic changes, regional wall motion abnormalities, and Takotsubo cardiomyopathy.
Case Report (n=1)
Acute cerebral illness such as subarachnoid hemorrhage can cause cardiac abnormalities mimicking myocardial ischemia, including Takotsubo cardiomyopathy.
Takotsubo cardiomyopathy can occur with normal coronaries after SAH arrest; leaves open optimal diagnostic pathways in similar cases.
A 36-year-old man was brought to our emergency department after successful resuscitation of out-of-hospital cardiac arrest with the whole spectrum of neurocardiogenic effects in subarachnoid hemorrhage: electrocardiographic changes, regional wall motion abnormalities, and elevations of cardiac enzymes. Coronary angiography revealed normal coronary arteries but showed the midventricular type of Takotsubo cardiomyopathy in the left ventriculography. Subsequently, cerebral computed tomography revealed diffuse subarachnoid hemorrhage and generalized cerebral edema with brain herniation. Brain death was diagnosed. This case highlights the possibility of an acute cerebral illness (especially subarachnoid hemorrhage) as an underlying cause of cardiac abnormalities mimicking myocardial ischemia.
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Mansella et al. (2017) conducted a case report in Subarachnoid Hemorrhage (n=1). Subarachnoid hemorrhage was evaluated. Subarachnoid hemorrhage can cause acute cardiac abnormalities mimicking myocardial ischemia, including electrocardiographic changes, regional wall motion abnormalities, and Takotsubo cardiomyopathy.
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