Acute myocardial infarction complicating subarachnoid haemorrhage.
until further notice
SourceNetherlands Heart Journal, 17, 7-8, (2009), pp. 284-287
Article / Letter to editor
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Netherlands Heart Journal
SubjectNCEBP 14: Cardiovascular diseases
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.).
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