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Journal of The Korean Society of Emergency Medicine 1994;5(1): 93-99. |
| ACUTE MYOCARDIAL INJURY IN SUBARACHNOID HEMORRHAGE
: TWO CASES REPORTS
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| Dong Ryul Oh1, Kyu Nam Park1, Won Jae Lee1, Keun Woo Im1, Se Kyung Kim1, Kwang Soo Lee2 |
1Department of Emergency Medicine, Catholic University Medical College
2Department of Neurology, Catholic University Medical College |
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Published online: July 31, 1994. |
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| ABSTRACT |
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The relationship between acute cerebral disorders-namely, spontaneous subarachnoid hemorrhage(SAH), cerebrovascular accident, head trauma, intracranial space-occupying lesions, and meningitis-and various cardiovascular abnormalities has been recognized since the description of Cushing's phenomenon at the turn of the century. Since that time, various authors have reported electrocardiographic( ECG ) aberrations associated with acute intracranial events. The incidental ECG abnormalities in these patients varies between 50% and 90 %.
We present two patients with SAH confirmed on CT scan in whom ECG pattern was simulating myocardial infarction. Two patients have ECG abnormalities in 12-lead surface electrocardiograms after sudden onset of syncopal attack.
In case 1, a 12-lead electrocardiogram reveals elevated ST segment in lead II , III, AVF, V3-6 and depressed ST segment in lead V1.2
In case 2,a 12-lead electrocardiogram reveals elevated ST segment in lead I , AVL and de pressed ST segment in lead II , III, AVF.
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| Key words:
Subarachnoidal Hemorrhage, Myocardial Injury |
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