The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
Correspondence
PreviousPrevious
Volume 349:1874-1875 November 6, 2003 Number 19
NextNext

Electrocardiographic Changes in Intracranial Hemorrhage Mimicking Myocardial Infarction

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

 Sign up for free e-toc
 

This Article
-Full Text
- PDF
-PDA Full Text
-Purchase this article

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited
-E-mail When Letters Appear

More Information
-Related Article
 by Bailey, W. B.
-PubMed Citation
To the Editor: Bailey and Chaitman (Aug. 7 issue)1 present an electrocardiogram from a patient with a traumatic intracerebral hemorrhage. The electrocardiogram shows rather marked ST-segment and T-wave abnormalities, and the authors state that the abnormalities mimic those of myocardial infarction. I believe the abnormalities are actually due to severe generalized epicardial injury and ischemia; they are not imitators.

The ST-segment and T-wave abnormalities are caused by an abrupt elevation of serum catecholamine levels.2,3,4,5 An excess of catecholamines can damage myocytes directly and can also lead to generalized spasm of the coronary arteries. Actual cardiac infarction can result, especially if . . . [Full Text of this Article]


This article has been cited by other articles:



HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.