Intracranial bleed mimicking acute myocardial infarction.

摘要

A 62-year-old man with history of mesothelioma presented with altered mental status and an electrocardiogram (ECG) showed ST elevation in the inferior leads (Figure 1), consistent with an acute injury pattern. The troponin level was significantly increased at 6.76 mug/L (reference range 0.00-0.03 mug/L; a cut-off of 0.5 mug/L has been recommended at our institution for the diagnosis of acute myocardial infarction). A computed tomographic (CT) scan of the brain (Figure 2) showed a 4.6-cm haemorrhage in the left temporal lobe and a 6.0-cm haemorrhage in the right frontal lobe, associated with some midline shift. The patient died within 48 h of presentation.