ST‑segment elevation associated with intraparenchymal hemorrhage: A case report

Giraldo-Delgado,Manuel Alejandro; Zuluaga-Gómez,Mateo; González-Arroyave,Daniel; Ardila,Carlos M.

doi:10.3892/br.2023.1622

ST‑segment elevation associated with intraparenchymal hemorrhage: A case report

Authors:
- Manuel Alejandro Giraldo-Delgado
- Mateo Zuluaga-Gómez
- Daniel González-Arroyave
- Carlos M. Ardila
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Affiliations: Emergency Medicine Department, Faculty of Medicine, University CES, 050012 Medellín, Colombia, Medicine Department, Hospital San Vicente Fundación, 054047 Rionegro, Colombia, Medicine Department, Hospital San Vicente Fundación, 054047 Rionegro, Colombia, Basic Studies Department, Faculty of Dentistry, Universidad de Antioquia, 050010 Medellín, Colombia
Published online on: April 19, 2023 https://doi.org/10.3892/br.2023.1622
Article Number: 39

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Abstract

The electrocardiogram (ECG) changes in patients with intraparenchymal hemorrhage (IPH) have remained largely elusive and no case reports are currently available in the scientific literature. The medical management of a patient with ST‑segment elevation associated with IPH was described in the present study. The case report describes a 78‑year‑old male patient who presented with ST‑segment elevation in V1, V2, V3 and V4 on ECG. Initially, the case was managed therapeutically as an acute myocardial infarction. Later, the patient was transferred to a higher‑level hospital, where a new ECG confirmed ST‑segment elevation. Simple skull tomography was also performed, which revealed a spontaneous right basal ganglion in the context of an acute cerebrovascular accident of hypertensive origin. A transthoracic ECG was ordered, which revealed an ejection fraction of 65% with type I diastolic dysfunction due to relaxation disorders and without any signs of ischemia, intracavitary masses or thrombi. In addition to the presence of nonspecific ECG findings, clinicians should consider immediate brain computed tomography to confirm intracranial hemorrhage.

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