Stress cardiomyopathy misinterpreted as ST-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case report

Cardiac 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 trop...

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Bibliographic Details
Main Authors: Enache Iulian, Radu Răzvan Alexandru, Terecoasă Elena Oana, Dorobăţ Bogdan, Tiu Cristina
Format: Article
Language:English
Published: Sciendo 2020-09-01
Series:Romanian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.2478/rjim-2020-0010
Description
Summary:Cardiac 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.
ISSN:2501-062X