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coronary angiography evaluation.

coronary angiography evaluation.

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Subarachnoid hemorrhage (SAH) represents a medical emergency. Unfortunately, diagnosis can be delay due to cardiogenic abnormalities often associated with SAH. Cardiac manifestations are heterogeneous and common in patients with SAH. This phenomenon has not to be underestimated taking into account the devastating consequences of misdiagnosis and de...

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... showed ST-segment elevation in the inferolateral leads (Fig. 1). After feedback from the Department of Hemodynamic and interventional cardiology, on the suspect of ST Elevation Myocardial Infarction (STEMI), the Code-STEMI protocol was activated, and lysine acetylsalicylate and heparin were administered. However, coronary angiography was normal (Fig. 2). The echocardiographic evaluation showed hypokinesis of the inferolateral walls. Protamine was administered and then the patient was transferred to the radiology department. The CT showed the presence of diffuse SAH in all basal cisterns, in the bilateral Sylvian fissure and in fronto-parietal sulci (Fig. 3). The angiography revealed ...