A 50-year-old healthy woman presented with typical ECG findings of a ST elevation myocardial infarction, further to an abnormal anterior wall motion and elevated specific cardiac markers. A cerebral computed tomography scan revealed a subarachnoid and intraventricular haemorrhage due to a ruptured distal internal carotid aneurysm. The following report shows a rare case, in which subarachnoid haemorrhage mimics an acute ST elevation myocardial infarction.
ZaroffJGRordorfGAOgilvyCSet al. Regional patterns of left ventricular systolic dysfunction after subarachnoid hemorrhage: evidence for neurally mediated cardiac injury. J Am Soc Echocardiogr2000; 13: 774–779.