Key result
Subarachnoid hemorrhage mimics acute myocardial infarction with transient ST elevation and intractable shock.
Case Report (n=1)
Subarachnoid hemorrhage can rarely present with hypotension and ECG changes that mimic acute myocardial infarction, highlighting the need for careful differential diagnosis.
Alerts clinicians to rare SAH mimicking AMI with shock; hypothesis-generating and should not yet change practice.
Electrocardiographic changes in neurovascular disease are not rare. Patients with subarachnoid hemorrhage have electrocardiographic (ECG) abnormalities that may mimic ischemic heart disease and acute myocardial infarction. Outflow of catecholamines in the early stage of subarachnoid hemorrhage contributes to elevated blood pressure in most patients. Hypotension is a rare presentation in subarachnoid hemorrhage. We report a case of subarachnoid hemorrhage with transient ST elevation and intractable shock simulating acute myocardial infarction, and review the mechanism of ECG changes in subarachnoid hemorrhage.
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Lee et al. (2004) conducted a case report in Subarachnoid hemorrhage (n=1). Subarachnoid hemorrhage was evaluated. A case of subarachnoid hemorrhage presented with transient ST elevation and intractable shock, simulating acute myocardial infarction, highlighting a rare hypotensive presentation.
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