Key result
A patient presenting with subarachnoid haemorrhage was found to have significant Q waves on the ECG suggestive of a trans-mural myocardial infarction despite a negative medical history.
Case Report (n=1)
Highlights the occurrence of significant ECG abnormalities mimicking myocardial infarction in patients with subarachnoid haemorrhage and the implications for perioperative management.
ECG mimics of MI in subarachnoid haemorrhage warrant clinical awareness; this case leaves open generalizability and perioperative impact.
Subarachnoid haemorrhage (SAH) is a devastating neurological insult, and is increasingly understood as a multi-system condition initiated in the central nervous system. Perioperative investigation of patients presenting for aneurysm surgery often includes a routine electrocardiogram (ECG) which frequently reveals an abnormality. We describe a patient who presented with SAH and who was found to have significant Q waves on the ECG suggestive of a trans-mural myocardial infarction, despite a negative medical history for such an event. We briefly highlight the issues faced by the anaesthesiologist when dealing with the patient with SAH and ECG abnormality, and the implications for cardiovascular dysfunction.
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Nevin et al. (2010) conducted a case report in Subarachnoid haemorrhage (n=1). Subarachnoid haemorrhage was evaluated. A patient presenting with subarachnoid haemorrhage was found to have significant Q waves on the ECG suggestive of a trans-mural myocardial infarction despite a negative medical history.
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