oa Southern African Journal of Anaesthesia and Analgesia - Acute subarachnoid haemorrhage and the mysterious electrocardiogram : case studies
|Article Title||Acute subarachnoid haemorrhage and the mysterious electrocardiogram : case studies|
|© Publisher:||Medpharm Publications|
|Journal||Southern African Journal of Anaesthesia and Analgesia|
|Author||D. Nevin and D. Lines|
|Publication Date||May 2010|
|Pages||10 - 13|
|Keyword(s)||Cardiovascular dysfunction, Electrocardiogram, Myocardial injury, Subarachnoid haemorrhage and University of the Witwatersrand|
Subarachnoid haemorrhage (SAH) is a devastating neurological insult, and is increasingly understood as a multi-system condition initiated in the central nervous system. Perioperative investigation of patients presenting for aneurysm surgery often includes a routine electrocardiogram (ECG) which frequently reveals an abnormality. We describe a patient who presented with SAH and who was found to have significant Q waves on the ECG suggestive of a trans-mural myocardial infarction, despite a negative medical history for such an event. We briefly highlight the issues faced by the anaesthesiologist when dealing with the patient with SAH and ECG abnormality, and the implications for cardiovascular dysfunction.
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