Over-diagnosis of myocardial infarction in case of intracerebral hemorrhage

• Koshelev N.A.
• V.V. Frontaseva
• I.L. Alekseeva
• N.A. Magdeeva

Abstract

According to the literature, changes in electrocardiogram (ECG) in case of acute cerebrovascular event and a number of other acute conditions (acute pancreatitis, perforated gastric ulcer, peritonitis etc.) are of a secondary nature. They simulate ischemia and myocardial infarction on ECG. As a result MI over-diagnosis is disclosed. That may change patient surveillance (who already has exigent condition) and thus affect the outcomes. The present observation shows all challenges that arose in differential diagnostics.

Keywords:acute cerebrovascular event, myocardial infarction, ECG, over-diagnosis, intracerebral hemorrhage, stroke

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