Postoperative ‘STEMI’ in Intracerebral Hemorrhage due to Arteriovenous Malformation: A Case Report and Review of Literature

Autor: Ravinder Datt Bhanot, Jasleen Kaur, Shitiz Sriwastawa, Kendall Bell, Kushak Suchdev
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Critical Care, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6420
2090-6439
DOI: 10.1155/2019/9048239
Popis: Electrocardiogram (ECG) changes suggestive of cardiac ischemia are frequently demonstrated in patients with ischemic stroke and subarachnoid hemorrhage. However, little is known of such changes particularly acute ST segment myocardial infarction (STEMI) in patients with intracerebral hemorrhage (ICH), especially after neurosurgery. We present a patient with intraparenchymal hemorrhage due to cerebral arteriovenous malformation (AVM) who exhibited acute STEMI after neurosurgery. Serial cardiac biomarkers and echocardiograms were performed which did not reveal any evidence of acute myocardial infarction. The patient was managed conservatively from cardiac stand point with no employment of anticoagulants, antiplatelet therapy, fibrinolytic agents, or angioplasty and recovered well with minimal neurological deficit. This case highlights that diffuse cardiac ischemic signs on the ECG can occur in the setting of an ICH after neurosurgery, potentially posing a difficult diagnostic and management conundrum.
Databáze: Directory of Open Access Journals
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