دورية أكاديمية
The Great Mimicker: A Unique Case of Diffuse Subarachnoid Haemorrhage Simulating Acute Myocardial Infarction.
| العنوان: | The Great Mimicker: A Unique Case of Diffuse Subarachnoid Haemorrhage Simulating Acute Myocardial Infarction. |
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| المؤلفون: | Gerges M; Internal Medicine, St. Joseph's University Medical Center, Paterson, USA., Bathobakae L; Internal Medicine, St. Joseph's University Medical Center, Paterson, USA., Mahmoud A; Internal Medicine, St. Joseph's University Medical Center, Paterson, USA., Saad R; Internal Medicine, St. Joseph's University Medical Center, Paterson, USA., Elkattawy S; Cardiology Division, St. Joseph's University Medical Center, Paterson, USA., Shamoon F; Cardiology Division, St. Joseph's University Medical Center, Paterson, USA., Ismail M; Pulmonary and Critical Care Medicine, St. Joseph's University Medical Center, Paterson, USA. |
| المصدر: | European journal of case reports in internal medicine [Eur J Case Rep Intern Med] 2024 Jul 04; Vol. 11 (8), pp. 004713. Date of Electronic Publication: 2024 Jul 04 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SMC Media Country of Publication: Italy NLM ID: 101648453 Publication Model: eCollection Cited Medium: Internet ISSN: 2284-2594 (Electronic) Linking ISSN: 22842594 NLM ISO Abbreviation: Eur J Case Rep Intern Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Milano : SMC Media, [2014]- |
| مستخلص: | Subarachnoid haemorrhage (SAH) is a rare yet consequential medical emergency that may mimic an acute myocardial infarction (MI). SAH causes enhanced sympathetic activity, culminating in the development of neurogenic stunned myocardium (NSM), which presents as ST-segment deviations, prolonged QT intervals, T-wave inversions or Q-waves. Reperfusion therapy is contraindicated for SAH because of an increased risk of bleeding and death. Therefore, a prompt diagnosis is crucial. Here, we report a unique case of massive SAH presenting as diffuse ST-segment deviation simulating an acute MI. Our patient was brought to the emergency department after a cardiac arrest and died on day 2 of admission. Learning Points: Subarachnoid haemorrhage (SAH) can present with EKG changes and significant rise in troponin, mimicking acute coronary syndrome.SAH should be included in the differential diagnosis for patients presenting with neurological symptoms, ST-segment deviations or prolonged QT intervals.Misdiagnosis of SAH as acute coronary syndrome can lead to inappropriate use of anticoagulants or delays in necessary neurological interventions. Competing Interests: Conflicts of Interests: The Authors declare that there are no competing interests. (© EFIM 2024.) |
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| فهرسة مساهمة: | Keywords: ST-segment depression; acute myocardial infarction; electrocardiogram; neurogenic stunned myocardium; subarachnoid haemorrhage |
| تواريخ الأحداث: | Date Created: 20240812 Latest Revision: 20240813 |
| رمز التحديث: | 20240813 |
| مُعرف محوري في PubMed: | PMC11313106 |
| DOI: | 10.12890/2024_004713 |
| PMID: | 39130074 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2284-2594 |
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| DOI: | 10.12890/2024_004713 |