Acute myocardial infarction complicating subarachnoid haemorrhage

被引:4
作者
van der Velden, L. B. J. [4 ]
Otterspoor, L. C. [2 ]
Kool, L. J. Schultze [1 ]
Biessels, G. J. [3 ]
Verheugt, F. W. A. [4 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Dept Radiol, NL-6500 HB Nijmegen, Netherlands
[2] Univ Med Ctr Utrecht, Heart Lung Ctr Utrecht, Dept Cardiol, Utrecht, Netherlands
[3] Univ Med Ctr Utrecht, Dept Neurol, Utrecht, Netherlands
[4] Radboud Univ Nijmegen, Med Ctr, Dept Cardiol, NL-6500 HB Nijmegen, Netherlands
关键词
subarachnoid haemorrhage; myocardial infarction; NEUROCARDIOGENIC INJURY; VENTRICULAR DYSFUNCTION; ABNORMALITIES;
D O I
10.1007/BF03086267
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
An acute myocardial infarction is a rare complication of a subarachnoid haemorrhage. The combination of these two conditions imposes important treatment dilemmas. We describe two patients with this combination of life-threatening conditions. Patient I was treated with emergency percutaneous coronary intervention followed by clipping of the anterior communicating artery aneurysm. Six months after discharge the patient's memory and orientation had almost completely recovered. Patient 2 was treated with aspirin until coiling of the aneurysm could be performed. After successful coiling low-molecular-weight heparin was added. One week later the patient died due to a free wall rupture. (Neth Heart J 2009;17:284-7.)
引用
收藏
页码:284 / 287
页数:4
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