[Intracranial hemorrhage masquerading as STEMI].
P KreuzerG HacklF EisnerA ReisingerG SchilcherPhilipp EllerPublished in: Medizinische Klinik, Intensivmedizin und Notfallmedizin (2019)
A 56-year-old woman was found unconscious and promptly intubated. The electrocardiogram showed ST elevations in I, aVL, V1-V4. Thus, lysis therapy was performed. After admission to the intensive care unit, the patient was reassessed. Laboratory evaluation confirmed elevated troponin T. However, coronary angiography showed no coronary artery disease, whereas cerebral computed tomography revealed massive intracranial hemorrhage without neurosurgical treatment option. Brain death was confirmed after 54 hours. This case highlights electrocardiographic changes in intracranial hemorrhage that may be masquerading as STEMI.
Keyphrases
- percutaneous coronary intervention
- coronary artery disease
- computed tomography
- optic nerve
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- emergency department
- case report
- subarachnoid hemorrhage
- coronary artery bypass grafting
- resting state
- acute coronary syndrome
- white matter
- heart failure
- stem cells
- cardiovascular events
- magnetic resonance
- mesenchymal stem cells
- bone marrow
- functional connectivity
- cardiovascular disease
- transcatheter aortic valve replacement