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Images in Clinical Medicine
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Volume 349:561 August 7, 2003 Number 6
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Electrocardiographic Changes in Intracranial Hemorrhage Mimicking Myocardial Infarction

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A 19-year-old man was admitted to the trauma unit after being struck in the left temple by a brick. Surgery to evacuate an intracranial hemorrhage was performed, and an electrocardiogram (ECG) was recorded 48 hours later, after a transient episode of hypoxemia. The tracing showed marked ST-segment elevation in leads II, III, aVF, and V6 accompanied by ST-segment depression and inverted T waves in leads V3 to V5, mimicking the changes seen in acute myocardial ischemia. The QT interval was markedly prolonged. Serial measurements of cardiac-enzyme levels and an echocardiogram were normal. The next morning, the patient's ECG showed . . . [Full Text of this Article]

 

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Electrocardiographic Changes in Intracranial Hemorrhage Mimicking Myocardial Infarction
Hurst J. W., Bailey B., Chaitman B.
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N Engl J Med 2003; 349:1874-1875, Nov 6, 2003. Correspondence

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