Subarachnoid hemorrhage-induced out-of-hospital cardiac arrest patients with ST-segment elevation from the electrocardiogram: Two case reports

Introduction: Subarachnoid hemorrhage (SAH) is a critical disease, and people may get mortality on SAH. Another severe disease induced cardiac arrest is acute coronary syndrome (ACS), and our two cases share the typical characteristics of ACS electrocardiogram (ECG) with ST-segment elevation. The ex...

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Veröffentlicht in:Hong Kong journal of emergency medicine 2021-09, Vol.28 (5), p.320-323
Hauptverfasser: Wei Ting, Wei, Lai, Pei Fang, Chang, Hsin
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Chang, Hsin
description Introduction: Subarachnoid hemorrhage (SAH) is a critical disease, and people may get mortality on SAH. Another severe disease induced cardiac arrest is acute coronary syndrome (ACS), and our two cases share the typical characteristics of ACS electrocardiogram (ECG) with ST-segment elevation. The experience is rare and educable, so we present this article to remind emergency physicians in similar cases. Case presentation: Two post-resuscitation electrocardiogram (ECG)-proven cases of out-of-hospital cardiac arrest (OHCA) revealed ST-segment elevation. Discussion: However, the etiology of the arrest was proven to be subarachnoid hemorrhage (SAH) in the Emergency Department. In this article, we shared ECGs and brain CT scans as a reminder to ED doctors to bear in mind other differential diagnoses when ECGs show ST-segment elevation post-resuscitation. Conclusion: Cases such as these alert frontline ED physicians to the possibility of SAH in cardiac arrest patients and the potentially lethal consequence of inappropriate treatment.
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subjects acute coronary syndrome
Acute coronary syndromes
Administration
Cardiac arrest
Care
Case reports
electrocardiogram
Electrocardiography
Emergency services
Heart attacks
Hemorrhage
Hospitals
out‐of‐hospital cardiac arrest
Patients
Prevention
Stroke
Subarachnoid hemorrhage
title Subarachnoid hemorrhage-induced out-of-hospital cardiac arrest patients with ST-segment elevation from the electrocardiogram: Two case reports
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