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Acute myocardial infarction complicating subarachnoid haemorrhage

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Abstract

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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    L. B. J. van der Velden

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  1. L. B. J. van der Velden
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  2. L. C. Otterspoor
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  3. L. J. Schultze Kool
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  4. G. J. Biessels
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  5. F. W. A. Verheugt
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Corresponding author

Correspondence to L. B. J. van der Velden.

Additional information

Department of Cardiology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands

Department of Cardiology, Heart Lung Centre Utrecht, University Medical Centre Utrecht, Utrecht, the Netherlands

Department of Neurology, University Medical Centre Utrecht, Utrecht, the Netherlands

L.B.J. van der Velden Department of Cardiology, Heart Lung Center UMC St Radboud, PO Box 9101, 6500 HB Nijmegen, the Netherlands

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van der Velden, L.B.J., Otterspoor, L.C., Kool, L.J.S. et al. Acute myocardial infarction complicating subarachnoid haemorrhage. NHJL 17, 284–287 (2009). https://doi.org/10.1007/BF03086267

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  • DOI: https://doi.org/10.1007/BF03086267

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