Subarachnoid hemorrhage and acute myocardial infarction

Bárcena, Jon Pérez; Rota, J.I. Ayestarán; Ramírez, Jorge H; Sala, M. Fiol; Juve, J. Ibanez

doi:10.1007/s001340051336

Cited by 2 publications

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“…However, the association between SAH and acute myocardial infarction (MI) is rarely reported. [1] We report a patient with traumatic SAH concurrent with acute MI that managed successfully by endovascular intervention and dual antiplatelet therapy.…”

Section: Introductionmentioning

confidence: 97%

Dual antiplatelet therapy in a patient with simultaneous aneurysmal subarachnoid hemorrhage and myocardial infarction

Mortazavi

Jelodar

Edraki

et al. 2020

Surgical Neurology International

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Background: Electrocardiography (ECG) changes after subarachnoid hemorrhage (SAH) are well described. However, concurrent myocardial infarction (MI) and SAH are rarely reported, and its management remains a dilemma. We report a patient with traumatic SAH concurrent with acute MI that managed successfully by endovascular intervention and dual antiplatelet therapy. Case Description: A 47-year-old man was admitted to the emergency department with a complaint of severe headache. Diffuse SAH, with a Hunt and Hess score of 5, was noticed. ECG showed ST elevation in anterior leads, and cardiac troponin became positive. On brain computed tomography angiogram, a 6 mm anterior communicating artery aneurysm was seen. Considering the possibility of MI and SAH simultaneously, endovascular obliteration of the aneurysm was done, and then, the patient received dual antiplatelet medications until coronary angiography was done. Coronary angiography revealed normal epicardial coronary arteries. The patient was discharged with a Glasgow Coma Scale score of 15 and was visited 2 months after discharge without any new episodes of intracranial hemorrhage with a modified Rankin scale score of 2. Conclusion: Cerebral aneurysm coiling could be considered as the first choice of treatment in the case of acute MI with hemodynamic stability, before carrying out cardiac endovascular intervention or antiplatelet medication to reduce the risk of rebleeding from a brain aneurysm.

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Section: Introductionmentioning

confidence: 97%

Dual antiplatelet therapy in a patient with simultaneous aneurysmal subarachnoid hemorrhage and myocardial infarction

Mortazavi

Jelodar

Edraki

et al. 2020

Surgical Neurology International

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“…To our knowledge only two cases describing acute myocardial infarction complicating SAH have been published in international literature. 8,9 We report on two female patients admitted with an SAH complicated by an ST-elevation myocardial infarction. …”

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confidence: 99%

Acute myocardial infarction complicating subarachnoid haemorrhage

Velden¹,

Otterspoor²,

Kool³

et al. 2009

NHJL

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An acute myocardial infarction is a rare complication of a subarachnoid haemorrhage. The combination of these two conditions imposes important treatment dilemmas. We describe two patients with this combination of life-threatening conditions. Patient 1 was treated with emergency percutaneous coronary intervention followed by clipping of the anterior communicating artery aneurysm. Six months after discharge the patient's memory and orientation had almost completely recovered. Patient 2 was treated with aspirin until coiling of the aneurysm could be performed. After successful coiling low-molecular-weight heparin was added. One week later the patient died due to a free wall rupture. (Neth Heart J 2009;17:284-7.).

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Subarachnoid hemorrhage and acute myocardial infarction

Cited by 2 publications

References 0 publications

Dual antiplatelet therapy in a patient with simultaneous aneurysmal subarachnoid hemorrhage and myocardial infarction

Dual antiplatelet therapy in a patient with simultaneous aneurysmal subarachnoid hemorrhage and myocardial infarction

Acute myocardial infarction complicating subarachnoid haemorrhage

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