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Kreuzer, P; Hackl, G; Eisner, F; Reisinger, A; Schilcher, G; Eller, P.
[Intracranial hemorrhage masquerading as STEMI].
Med Klin Intensivmed Notfmed. 2020; 115(6):488-490
Doi: 10.1007/s00063-019-0584-5
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Eller Philipp
- Co-Autor*innen der Med Uni Graz
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Eisner Florian
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Hackl Gerald
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Reisinger Alexander Christian
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Schilcher Gernot
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- Abstract:
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A 56-year-old woman was found unconscious and promptly intubated. The electrocardiogram showed ST elevations in I, aVL, V1-V4. Thus, lysis therapy was performed. After admission to the intensive care unit, the patient was reassessed. Laboratory evaluation confirmed elevated troponin T. However, coronary angiography showed no coronary artery disease, whereas cerebral computed tomography revealed massive intracranial hemorrhage without neurosurgical treatment option. Brain death was confirmed after 54 hours. This case highlights electrocardiographic changes in intracranial hemorrhage that may be masquerading as STEMI.
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STEMI
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Coma
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Subarachnoidal hemorrhage
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Tako-tsubo
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Lysis