Abstract
It has been described a great variety of electrocardiographic abnormalities in the acute phase of the subarachnoid hemorrhage (SAH), which are more frequent in patients with severe neurologic impairment and when there is myocardial damage. The presence of electrocardiographic tracings compatible with acute myocardial infarction (AMI) in the acute phase of the SAH is rare. We present a 77-year-old patient with an extensive SAH and an electrocardiographic pattern suggesting anterior transmural AMI, with a fatal outcome in a few hours. It should pay more attention to the possibility of cardiac complications in the SAH. Myocardial ischemia and SAH may coexist. The presence of electrocardiographic abnormalities in the acute phase of the SAH is not always indicative of cardiac pathology.
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