Cerebrogenic ECG-changes after subarachnoid hemorrhage secondary to a carotid aneurysm - Differentiation to acute myocardial infarction

Author(s): Pavlidis, C., Jung, W., Luderitz, B.

Journal/Book: Z Kardiol. 1995; 84: C/O Springer-Verlag, Heidelberger Platz 3, 1000 Berlin 33, Germany. Dr Dietrich Steinkopff Verlag. 808-813.

Abstract: ECG-changes simulating acute posterior myocardial infarction were observed in a 62-year-old woman 16 days after acute subarachnoid hemorrhage. An acute myocardial ischemia was excluded by enzyme laboratory tests and by coronary angiography. The transient ECG-changes can be explained by short-term spasms of small distal arterioles in the heart, which were affected by a derangement of autonomic function, The present case demonstrates ECG-changes in a patient with subarachnoid hemorrhage very late after the acute event. Therefore, patients with intracranial hemorrhage should have a prolonged electrocardiographical aftercare. ECG-changes in patients with subarachnoid hemorrhage were discussed as a specific parameter describing the degree of intracranial damage and as a predictive value for a poor outcome. Because of ventricular arrhythmias and the occurrence of sudden cardiac death in patients with subarachnoid hemorrhage critical care monitoring should be performed after detection of new ECG-changes.

Note: Article A Hagendorff, Univ Bonn, Med Klin, Sigmund Freud Str 25, D-53105 Bonn, Germany

Keyword(s): subarachnoid hemorrhage; autonomic imbalance; EGG-changes; ST-segment elevation; CARDIAC-ARRHYTHMIAS; ELECTROCARDIOGRAPHIC CHANGES; ABNORMALITIES; LESIONS; MODEL; BRAIN

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