Subarachnoid hemorrhage and acute myocardial infarction

2000 ◽  
Vol 26 (8) ◽  
pp. 1160-1161 ◽  
Author(s):  
J. P. Bárcena ◽  
J. I. A. Rota ◽  
J. H. Ramírez ◽  
M. F. Sala ◽  
J. I. Juve
Author(s):  
Christian D. Cerecedo-Lopez ◽  
Issac Ng ◽  
Hillary B. Nguyen ◽  
Pui Man Rosalind Lai ◽  
William B. Gormley ◽  
...  

2004 ◽  
Vol 20 (9) ◽  
pp. 452-456
Author(s):  
Hsiang-Chun Lee ◽  
Hsueh-Wei Yen ◽  
Ye-Hsu Lu ◽  
Kun-Tai Lee ◽  
Wen-Chol Voon ◽  
...  

2016 ◽  
Vol 30 (1) ◽  
pp. 65-69
Author(s):  
Raluca Ungureanu ◽  
Gabriel Iacob

Abstract We present a patient with a subarachnoid hemorrhage (SAH) on the computed tomography and electrocardiogram changes compatible with myocardial infarction. SAH is a medical emergency, but it can be initially misdiagnosed. Diagnosis may be delayed due to atypical presentations of SAH and this may endanger the life of the patient. Electrocardiogram abnormalities have been described previously in SAH and may obscure the correct diagnosis.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kota Fukai ◽  
Yuko Furuya ◽  
Shoko Nakazawa ◽  
Noriko Kojimahara ◽  
Keika Hoshi ◽  
...  

AbstractWe aimed to investigate the risks of cardiovascular diseases associated with specific occupations, using a nation-wide, multicentre, hospital-based registry data from the Inpatient Clinico-Occupational Survey. The analysis included 539,110 controls (non-circulatory disease) and 23,792 cases (cerebral infarction, intracerebral/subarachnoid hemorrhage, acute myocardial infarction) aged ≥ 20 years who were initially hospitalized during 2005–2015. The participants’ occupational and clinical histories were collected by interviewers and medical doctors. Occupations were coded into 81 categories according to the Japanese standard occupation classification. Multivariable logistic regression analysis adjusted for age, admission year and hospital, smoking, alcohol consumption, hypertension, and shift-work was conducted by sex using general clerical workers as the reference. Increased risks of cerebral infarction, intracerebral hemorrhage, subarachnoid hemorrhage, and acute myocardial infarction, were observed in 15, 20, 25, and 1 occupation(s) in men, and 9, 2, 2, and 10 occupations in women. Motor vehicle drivers, food and drink preparatory workers, fishery workers, cargo workers, civil engineer workers, and other manual workers in men and other manual workers in women faced increased risks of all three stroke subtypes. Our findings demonstrate associations between specific occupations and the risk of cardiovascular disease incidence and suggest that the risk may vary by occupation.


2002 ◽  
Vol 20 (1) ◽  
pp. 55 ◽  
Author(s):  
V. Adhiyaman ◽  
K.N. Ganeshram ◽  
M. Sivaramalingam ◽  
M.W. Greenway

2020 ◽  
Vol 58 (3) ◽  
pp. 173-177
Author(s):  
Iulian Enache ◽  
Răzvan Alexandru Radu ◽  
Elena Oana Terecoasă ◽  
Bogdan Dorobăţ ◽  
Cristina Tiu

AbstractCardiac abnormalities are frequently reported in acute subarachnoid hemorrhage (SAH) patients. However, frank ST-elevation and myocardial dysfunction mimicking acute coronary syndrome is a rare occurrence. Systemic and local catecholamine release mediate myocardial injury and may explain raised troponin levels, concordant regional wall motion abnormalities and systolic dysfunction. These findings can pose a significant problem in the acute setting where “time-is-muscle” paradigm can rush clinicians towards a “rule-in” diagnosis of acute myocardial infarction.We present the case of a 60-year-old male who arrived at a regional emergency department with loss of consciousness, chest pain and headache. His ECG showed ST-elevation in precordial leads with corresponding region wall motion abnormalities and dynamically elevated troponin levels which supported a diagnosis of acute myocardial infarction. Percutaneous coronary intervention was attempted but found no hemodynamically significant lesions and the patient was managed conservatively with antithrombotic treatment. Further work-up for his headache led to the diagnosis of aneurysmal SAH and subsequent endovascular coiling. The patient was discharged with a good clinical outcome. We discuss the potential catastrophic consequences of interpreting neurologic myocardial stunning as STEMI. Use of potent antithrombotic therapies, like bridging thrombolysis, in this setting can lead to dismal consequences. Clinical history should still be carefully obtained in the acute setting in this era of sensitive biomarkers.


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