1例蛛网膜下腔出血伴心电图和超声心动图改变，酷似透壁性心肌梗死。

A case of subarachnoid hemorrhage with electrocardiographic and echocardiographic changes simulating transmural myocardial infarction.

作者信息

Yamaguchi T, Shimizu Y, Ono N, Unno M, Nishikawa H, Kakuta Y, Sakakura M, Nakano T

机构信息

Department of Cardiology, Yamada Red Cross Hospital, Watarai, Japan.

出版信息

Jpn J Med. 1991 Mar-Apr;30(2):142-5. doi: 10.2169/internalmedicine1962.30.142.

DOI:10.2169/internalmedicine1962.30.142

PMID:1865586

Abstract

A patient with subarachnoid hemorrhage who exhibited changes suggestive of myocardial infarction by electro- and echocardiography and underwent coronary angiography is reported. Echocardiography demonstrated marked hypokinesis in the left ventricular anterior wall to the septum. Since the possibility of concomitant myocardial infarction could not be excluded, coronary angiography was performed with cerebral angiography. No abnormalities were observed in the coronary arteries, and the myocardial damage was considered to be due to subarachnoid hemorrhage. Echocardiograms showed improvements in left ventricular wall motion within a short time after operation of the intracranial lesion.

摘要

报告了一名蛛网膜下腔出血患者，其通过心电图和超声心动图显示出提示心肌梗死的变化，并接受了冠状动脉造影。超声心动图显示左心室前壁至室间隔有明显运动减弱。由于不能排除合并心肌梗死的可能性，故在进行脑血管造影时同时进行了冠状动脉造影。冠状动脉未观察到异常，心肌损伤被认为是由蛛网膜下腔出血所致。颅内病变手术后短时间内超声心动图显示左心室壁运动有所改善。