Primary intracranial hemorrhage presenting as acute myocardial ischemic syndrome / 대한내과학회지
Korean Journal of Medicine
; : 951-955, 1998.
Article
em Ko
| WPRIM
| ID: wpr-181561
Biblioteca responsável:
WPRO
ABSTRACT
A 44 years old woman was admitted to Inha University hospital in semicomatose state. An electrocardiogram (ECG), taken in the emergency room, showed ST segment elevation in the precordial leads. She underwent a urgent echocardiography. It showed that there was akinesia of anteroseptal segment from the mid left ventricle to the apex and inferior segment from the mid left ventrile to the lower mid left ventricle. With the impression of acute myocardial infarction (AMI), she underwent a urgent coronary angiography. There was no significant luminal narrowing of the right or the left coronary arteries but the left ventriculography revealed akinesia of anterolateral and diaphragmatic segments of the left ventricle. Computerized tomography (CT) of the brain, taken shortly after coronary angiography, showed subarachnoid hemorrhage. The abnormal ECG and echocardiography findings, simulating acute myocardial infarction, were assumed to be caused by coronary vasospasm derived from subarachnoid hemorrhage accompanied by massive adrenergic discharge.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Fenobarbital
/
Hemorragia Subaracnóidea
/
Encéfalo
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Ecocardiografia
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Angiografia Coronária
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Vasoespasmo Coronário
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Vasos Coronários
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Hemorragias Intracranianas
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Eletrocardiografia
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Serviço Hospitalar de Emergência
Limite:
Adult
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Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
1998
Tipo de documento:
Article