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 |
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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. |
doi_str_mv | 10.1177/1024907919882848 |
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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.</description><identifier>ISSN: 1024-9079</identifier><identifier>EISSN: 2309-5407</identifier><identifier>DOI: 10.1177/1024907919882848</identifier><language>eng</language><publisher>Hong Kong: SAGE Publications</publisher><subject>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</subject><ispartof>Hong Kong journal of emergency medicine, 2021-09, Vol.28 (5), p.320-323</ispartof><rights>The Author(s) 2019</rights><rights>The Authors</rights><rights>The Author(s) 2019. This work is licensed under the Creative Commons Attribution – Non-Commercial License http://www.creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c5083-28bdda5fc3d77bb7810f0c7c8fdc764d5aa54621e3661abf35edb40309ee94c23</cites><orcidid>0000-0002-2786-1930 ; 0000-0002-6542-2816</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1177%2F1024907919882848$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1177%2F1024907919882848$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,11541,27901,27902,46027,46451</link.rule.ids></links><search><creatorcontrib>Wei Ting, Wei</creatorcontrib><creatorcontrib>Lai, Pei Fang</creatorcontrib><creatorcontrib>Chang, Hsin</creatorcontrib><title>Subarachnoid hemorrhage-induced out-of-hospital cardiac arrest patients with ST-segment elevation from the electrocardiogram: Two case reports</title><title>Hong Kong journal of emergency medicine</title><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.</description><subject>acute coronary syndrome</subject><subject>Acute coronary syndromes</subject><subject>Administration</subject><subject>Cardiac arrest</subject><subject>Care</subject><subject>Case reports</subject><subject>electrocardiogram</subject><subject>Electrocardiography</subject><subject>Emergency services</subject><subject>Heart attacks</subject><subject>Hemorrhage</subject><subject>Hospitals</subject><subject>out‐of‐hospital cardiac arrest</subject><subject>Patients</subject><subject>Prevention</subject><subject>Stroke</subject><subject>Subarachnoid hemorrhage</subject><issn>1024-9079</issn><issn>2309-5407</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNqlkc-P1CAcxRujiZPdvXsk8YzyoxTqTTeOO-vqJm49Ewp0yqQtI1An-0_4N0u3Jptooge5kPDe-3zhURQvMHqFMeevMSJljXiNayGIKMWTYkMoqiErEX9abBYZLvrz4iLGA1oWR6xGm-LH3dyqoHQ_eWdAb0cfQq_2FrrJzNoa4OcEfQd7H48uqQFoFYxTGqgQbEzgqJKzU4rg5FIP7hoY7X7MB8AO9nvW_AS64EeQersc6RT8A8HvgxrfgObkMzFaEOzRhxTPi2edGqK9-LWfFV-375vLK3hz-2F3-fYGaoYEhUS0xijWaWo4b1suMOqQ5lp0RvOqNEwpVlYEW1pVWLUdZda0JcqVWFuXmtCz4uXKPQb_bc4PkQc_hymPlIRxzDIR19mFVpcOPsZgO3kMblThXmIkl-Ll78XnSL1GTm6w9__0y6uP1-TdFmEiaM7CNRvzBzxe6C-zmtUfRpek9sPSb248HlSKMloVdC_d1PkH3Ye9NN4tOEpx9ShgWnLBSFkxLDDl_4ndfd7efvm0a_7A_gT-R9AY</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Wei Ting, Wei</creator><creator>Lai, Pei Fang</creator><creator>Chang, Hsin</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>24P</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0002-2786-1930</orcidid><orcidid>https://orcid.org/0000-0002-6542-2816</orcidid></search><sort><creationdate>20210901</creationdate><title>Subarachnoid hemorrhage-induced out-of-hospital cardiac arrest patients with ST-segment elevation from the electrocardiogram: Two case reports</title><author>Wei Ting, Wei ; Lai, Pei Fang ; Chang, Hsin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5083-28bdda5fc3d77bb7810f0c7c8fdc764d5aa54621e3661abf35edb40309ee94c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>acute coronary syndrome</topic><topic>Acute coronary syndromes</topic><topic>Administration</topic><topic>Cardiac arrest</topic><topic>Care</topic><topic>Case reports</topic><topic>electrocardiogram</topic><topic>Electrocardiography</topic><topic>Emergency services</topic><topic>Heart attacks</topic><topic>Hemorrhage</topic><topic>Hospitals</topic><topic>out‐of‐hospital cardiac arrest</topic><topic>Patients</topic><topic>Prevention</topic><topic>Stroke</topic><topic>Subarachnoid hemorrhage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wei Ting, Wei</creatorcontrib><creatorcontrib>Lai, Pei Fang</creatorcontrib><creatorcontrib>Chang, Hsin</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Wiley Online Library Open Access</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Hong Kong journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wei Ting, Wei</au><au>Lai, Pei Fang</au><au>Chang, Hsin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subarachnoid hemorrhage-induced out-of-hospital cardiac arrest patients with ST-segment elevation from the electrocardiogram: Two case reports</atitle><jtitle>Hong Kong journal of emergency medicine</jtitle><date>2021-09-01</date><risdate>2021</risdate><volume>28</volume><issue>5</issue><spage>320</spage><epage>323</epage><pages>320-323</pages><issn>1024-9079</issn><eissn>2309-5407</eissn><abstract>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.</abstract><cop>Hong Kong</cop><pub>SAGE Publications</pub><doi>10.1177/1024907919882848</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-2786-1930</orcidid><orcidid>https://orcid.org/0000-0002-6542-2816</orcidid><oa>free_for_read</oa></addata></record> |
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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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