Acute myocardial infarction complicating subarachnoid haemorrhage.

Abstract

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 1 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.).

• Authors: L B J van der Velden, L C Otterspoor, L J Schultze Kool, G J Biessels, F W A Verheugt
• Journal: Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation (Neth Heart J) Vol. 17 Issue 7-8 Pg. 284-7 (Aug 2009) ISSN: 1568-5888 [Print] Netherlands
• PMID: 19789696 (Publication Type: Journal Article)