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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| Format: | Article |
| Language: | English |
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Sciendo
2020-09-01
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| Series: | Romanian Journal of Internal Medicine |
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| Online Access: | https://doi.org/10.2478/rjim-2020-0010 |
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doaj-0770c7d65fc54155bd6d724dc3ee75212021-09-05T14:01:26ZengSciendoRomanian Journal of Internal Medicine2501-062X2020-09-0158317317710.2478/rjim-2020-0010rjim-2020-0010Stress cardiomyopathy misinterpreted as ST-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case reportEnache Iulian0Radu Răzvan Alexandru1Terecoasă Elena Oana2Dorobăţ Bogdan3Tiu Cristina4Department of Neurology, University Emergency Hospital BucharestDepartment of Neurology, University Emergency Hospital BucharestDepartment of Neurology, University Emergency Hospital BucharestDepartment of Radiology and Medical Imaging, University Emergency Hospital BucharestDepartment of Neurology, University Emergency Hospital BucharestCardiac 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.https://doi.org/10.2478/rjim-2020-0010subarachnoid hemorrhagemyocardial stunningst elevation myocardial infarctionstress cardiomyopathytakotsubo cardiomyopathy |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Enache Iulian Radu Răzvan Alexandru Terecoasă Elena Oana Dorobăţ Bogdan Tiu Cristina |
| spellingShingle |
Enache Iulian Radu Răzvan Alexandru Terecoasă Elena Oana Dorobăţ Bogdan Tiu Cristina Stress cardiomyopathy misinterpreted as ST-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case report Romanian Journal of Internal Medicine subarachnoid hemorrhage myocardial stunning st elevation myocardial infarction stress cardiomyopathy takotsubo cardiomyopathy |
| author_facet |
Enache Iulian Radu Răzvan Alexandru Terecoasă Elena Oana Dorobăţ Bogdan Tiu Cristina |
| author_sort |
Enache Iulian |
| title |
Stress cardiomyopathy misinterpreted as ST-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case report |
| title_short |
Stress cardiomyopathy misinterpreted as ST-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case report |
| title_full |
Stress cardiomyopathy misinterpreted as ST-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case report |
| title_fullStr |
Stress cardiomyopathy misinterpreted as ST-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case report |
| title_full_unstemmed |
Stress cardiomyopathy misinterpreted as ST-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case report |
| title_sort |
stress cardiomyopathy misinterpreted as st-segment elevation myocardial infarction in a patient with aneurysmal subarachnoid hemorrhage: a case report |
| publisher |
Sciendo |
| series |
Romanian Journal of Internal Medicine |
| issn |
2501-062X |
| publishDate |
2020-09-01 |
| description |
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. |
| topic |
subarachnoid hemorrhage myocardial stunning st elevation myocardial infarction stress cardiomyopathy takotsubo cardiomyopathy |
| url |
https://doi.org/10.2478/rjim-2020-0010 |
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