We presented a case of temporary ST-segment ele- vation after intracranial hemorrhage mimicking re-infarction that developed af- ter thrombolytic therapy which reperfused acute anterior myocardial infarction.
📌 3 Key Takeaways
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Objective & Hypothesis:Neurogenic stunned myocardium (NSM) is defined as sudden onset, reversible or irreversible myocardial injury, often mimicking acute myocardial infarction.
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Key Findings & Data:It is arised from an imbalance in the autonomic nervous system in various acute brain injury situations, most commonly in the subarachnoid hemorrhage.
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Conclusion & Impact:We presented a case of temporary ST-segment ele- vation after intracranial hemorrhage mimicking re-infarction that developed af- ter thrombolytic therapy which reperfused acute anterior myocardial infarction.
Neurogenic stunned myocardium (NSM) is defined as sudden onset, reversible or irreversible myocardial injury, often mimicking acute myocardial infarction. It is arised from an imbalance in the autonomic nervous system in various acute brain injury situations, most commonly in the subarachnoid hemorrhage. Differ- ent electrocardiographic abnormalities and arrhythmias are very common even in the absence of structural heart disease. It should be carefully distinguished from acute coronary events. We presented a case of temporary ST-segment ele- vation after intracranial hemorrhage mimicking re-infarction that developed af- ter thrombolytic therapy which reperfused acute anterior myocardial infarction.
Akçay, M., Çoksevim, M. (2019). Transient ST-segment elevation due to intracranial hemorrhage in a patient presenting with acute anterior myocardial infarction. Journal of Experimental and Clinical Medicine, Volume: 35 Issue: 4. https://ajindex.com/articles/1423379
Mierzewska-Schmidt M, Gawecka A. Neurogenic stunned myocardium - do we consider this diagnosis in patients with acute central nervous system injury and acute heart failure? Anaesthesiol Intensive Ther 2015; 47: 175-80
Woon Je Heo, Jin Ho Kang, Woo Shin Jeong, Mi Yeon Jeong, Sang Hyuk Lee, Jeong Yeun Seo, et al. Subarachnoid Hemorrhage Misdiagnosed as an Acute ST Elevation Myocardial Infarction. Korean Circ J 2012; 42: 216-9
Katsanos AH, Korantzopoulos P, Tsivgoulis G, Kyritsis AP, Kosmidou M, Giannopoulos S. Electrocardiographic abnormalities and cardiac arrhythmias in structural brain lesions. Int J Cardiol 2013; 167: 328-34
Yusuf SW, Bhalla KS, Champion JC. Intracranial bleed mimicking acute myocardial infarction. Intern Med J 2007; 37: 339-40
Köklü E, Yüksel İÖ, Bayar N, Küçükseymen S, Arslan Ş. Subarachnoid hemorrhage that electrocardiographically mimics acute coronary syndrome: a case report. Turk Kardiyol Dern Ars 2015; 43: 730-3
Murthy SB, Shah S,Rao CP, Bershad EM, Suarez JI.Neurogenic Stunned Myocardium Following Acute Subarachnoid Hemorrhage: Pathophysiology and Practical Considerations. J Intensive Care Med. 2015 Sep;30(6):318-25
Wybraniec MT, Mizia-Stec K, Krzych Ł. Neurocardiogenic injury in subarachnoid hemorrhage: A wide spectrum of catecholamin-mediated brain-heart interactions. Cardiol J. 2014;21(3):220-8
Mierzewska-Schmidt M, Gawecka A. Neurogenic stunned myocardium - do we consider this diagnosis in patients with acute central nervous system injury and acute heart failure? Anaesthesiol Intensive Ther 2015; 47: 175-80
Woon Je Heo, Jin Ho Kang, Woo Shin Jeong, Mi Yeon Jeong, Sang Hyuk Lee, Jeong Yeun Seo, et al. Subarachnoid Hemorrhage Misdiagnosed as an Acute ST Elevation Myocardial Infarction. Korean Circ J 2012; 42: 216-9
Katsanos AH, Korantzopoulos P, Tsivgoulis G, Kyritsis AP, Kosmidou M, Giannopoulos S. Electrocardiographic abnormalities and cardiac arrhythmias in structural brain lesions. Int J Cardiol 2013; 167: 328-34
Yusuf SW, Bhalla KS, Champion JC. Intracranial bleed mimicking acute myocardial infarction. Intern Med J 2007; 37: 339-40
Köklü E, Yüksel İÖ, Bayar N, Küçükseymen S, Arslan Ş. Subarachnoid hemorrhage that electrocardiographically mimics acute coronary syndrome: a case report. Turk Kardiyol Dern Ars 2015; 43: 730-3
Murthy SB, Shah S,Rao CP, Bershad EM, Suarez JI.Neurogenic Stunned Myocardium Following Acute Subarachnoid Hemorrhage: Pathophysiology and Practical Considerations. J Intensive Care Med. 2015 Sep;30(6):318-25
Wybraniec MT, Mizia-Stec K, Krzych Ł. Neurocardiogenic injury in subarachnoid hemorrhage: A wide spectrum of catecholamin-mediated brain-heart interactions. Cardiol J. 2014;21(3):220-8.