술중 급성 심근경색 소견을 나타낸 뇌지주막하 출혈 환자의 마취 1예
It is now well established that acute subarachnoid hemorrhage secondary to rupture of a cerebral aneurysm can precipitate life-threatening cardiac arrhythmia. We experienced a 60 year old patient with a subarachnoid hemorrhage (neurologic grade III) due to rupture of anterior communicating artery an...
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| Veröffentlicht in: | Korean journal of anesthesiology 1999-05, Vol.36 (5), p.901 |
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| container_title | Korean journal of anesthesiology |
| container_volume | 36 |
| creator | 신일우 Il Woo Shin 손주태 Ju Tae Shn 황경일 Kyung Il Hwang 양우창 Woo Chang Yang 이헌근 Heon Keun Lee 정영균 Young Kyun Chung |
| description | It is now well established that acute subarachnoid hemorrhage secondary to rupture of a cerebral aneurysm can precipitate life-threatening cardiac arrhythmia. We experienced a 60 year old patient with a subarachnoid hemorrhage (neurologic grade III) due to rupture of anterior communicating artery aneurysm who presented with such intraoperative electrocardiographic changes as ST segment elevation and T wave inversion which are hallmark of acute myocardial infarction. The operation was uneventfully ended. On the postoperative laboratory examination about suspected acute myocardial infarction, the patient was found to have normal triple enzyme study and echocardiographic finding. The electrocardiogram three days after subarachnoid hemorrhage due to cerebral aneurysm returned to normal sinus rhythm. This case suggests that this patient's electrocardiographic change simulating acute myocardial infarction is transient change due to subarachnoid hemorrhage. (Korean J Anesthesiol 1999; 36: 901∼905) |
| format | Article |
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We experienced a 60 year old patient with a subarachnoid hemorrhage (neurologic grade III) due to rupture of anterior communicating artery aneurysm who presented with such intraoperative electrocardiographic changes as ST segment elevation and T wave inversion which are hallmark of acute myocardial infarction. The operation was uneventfully ended. On the postoperative laboratory examination about suspected acute myocardial infarction, the patient was found to have normal triple enzyme study and echocardiographic finding. The electrocardiogram three days after subarachnoid hemorrhage due to cerebral aneurysm returned to normal sinus rhythm. This case suggests that this patient's electrocardiographic change simulating acute myocardial infarction is transient change due to subarachnoid hemorrhage. 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We experienced a 60 year old patient with a subarachnoid hemorrhage (neurologic grade III) due to rupture of anterior communicating artery aneurysm who presented with such intraoperative electrocardiographic changes as ST segment elevation and T wave inversion which are hallmark of acute myocardial infarction. The operation was uneventfully ended. On the postoperative laboratory examination about suspected acute myocardial infarction, the patient was found to have normal triple enzyme study and echocardiographic finding. The electrocardiogram three days after subarachnoid hemorrhage due to cerebral aneurysm returned to normal sinus rhythm. This case suggests that this patient's electrocardiographic change simulating acute myocardial infarction is transient change due to subarachnoid hemorrhage. (Korean J Anesthesiol 1999; 36: 901∼905)</description><subject>Brain</subject><subject>cardiovascular</subject><subject>cerebral aneurysm. 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| fulltext | fulltext |
| identifier | ISSN: 2005-6419 |
| ispartof | Korean journal of anesthesiology, 1999-05, Vol.36 (5), p.901 |
| issn | 2005-6419 |
| language | kor |
| recordid | cdi_kiss_primary_1879014 |
| source | DOAJ Directory of Open Access Journals |
| subjects | Brain cardiovascular cerebral aneurysm. Complications myocardial infarction |
| title | 술중 급성 심근경색 소견을 나타낸 뇌지주막하 출혈 환자의 마취 1예 |
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