What does this research mean for the field?

Subarachnoid hemorrhage can present with clinical, electrocardiographic, and echocardiographic features mimicking acute myocardial infarction with transient apical ballooning. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe a case where an intracranial aneurysm rupture presented with clinical and electrocardiographic features identical to an acute transmural myocardial infarction.

February 3, 2016Monaldi Archives for Chest DiseaseOpen Access

Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Subarachnoid hemorrhage mimicking acute myocardial infarction (Tako-tsubo cardiomyopathy) (n=1). Intervention: Subarachnoid hemorrhage.

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Key result

Subarachnoid hemorrhage from a ruptured vertebral aneurysm mimics acute myocardial infarction and transient apical ballooning.

Population

69-year-old woman presenting with chest pain typical of myocardial ischemia, electrocardiographic…

Design

Case_report

Authors

ADAntonio Dâ€TMAloiaUniversity of Brescia EVEnrico VizzardiGeneral Cardiology PFPompilio FaggianoHeart Failure & Transplant

Discussion

Member takes

Implication

Consider subarachnoid hemorrhage in atypical Takotsubo-like presentations; this case leaves open its prevalence and diagnostic implications.

Key Points

To describe a case where an intracranial aneurysm rupture presented with clinical and electrocardiographic features identical to an acute transmural myocardial infarction.
Evaluated a 69-year-old female presenting with ischemic chest pain, hemodynamic instability, and antero-lateral ST-elevation patterns.
Conducted trans-thoracic echocardiography and urgent coronary angiography following antithrombotic therapy.
Performed cranial computed tomography following subsequent acute neurological deterioration.
Coronary angiography showed completely normal coronary arteries without stenosis, thrombosis, or vasospasm despite profound left ventricular apical ballooning.
Brain tomography identified acute subarachnoid hemorrhage resulting from the rupture of a right vertebral artery aneurysm.

Study Design

Type

Case Report (n=1)

Multicenter

Structured PICO

Population

A 69-year-old woman presenting with chest pain and ECG changes mimicking an acute myocardial infarction, ultimately diagnosed with transient apical ballooning associated with a subarachnoid hemorrhage.

Intracranial bleeding can present with reversible cardiomyopathy (tako-tsubo) mimicking an acute coronary syndrome, highlighting the importance of considering neurological causes in atypical presentations.

Cite This Study

Dâ€TMAloia et al. (2016) conducted a case report in Subarachnoid hemorrhage mimicking acute myocardial infarction (Tako-tsubo cardiomyopathy) (n=1). Subarachnoid hemorrhage was evaluated. A subarachnoid hemorrhage from a ruptured vertebral artery aneurysm can present with clinical and electrocardiographic features mimicking an acute myocardial infarction and transient apical ballooning.

synapsesocial.com/papers/6aa90739598f9870ab512fa9 https://doi.org/10.4081/monaldi.2007.468

Topics

Cardiomyopathy Cardiac amyloidosis

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Implication

Consider subarachnoid hemorrhage in atypical Takotsubo-like presentations; this case leaves open its prevalence and diagnostic implications.

Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

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