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Correspondence
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Volume 335:1320 October 24, 1996 Number 17
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Subarachnoid Hemorrhage and Acute Myocardial Infarction

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To the Editor: In their Clinical Problem-Solving article (June 6 issue),1 Pine and Tierney describe a 52-year-old man who was admitted to the hospital because of headache, lethargy, and heartburn. A 12-lead electrocardiogram showed extensive and persistent ST-segment elevation in the anterolateral leads. Because a computed tomographic scan of the head revealed subarachnoid hemorrhage, no thrombolytic therapy was administered, and the patient was treated only with nitrates, metoprolol, and nimodipine. Acute myocardial infarction was then confirmed by the detection of increased cardiac enzymes, wall-motion abnormalities on echocardiography, and finally, cardiac catheterization.

Although the authors present an excellent discussion of the . . . [Full Text of this Article]

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