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40-jährige Patientin mit Kopfschmerzen und Infarkt-EKG

A 40-ear-old female with headache and infarction ECG

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Zusammenfassung

Zerebrale Läsionen können zu einer Stresskardiomyopathie führen, welche präklinisch nicht von einem akuten Myokardinfarkt zu unterscheiden ist. Bei Patienten mit ST-Hebungen und auffälliger Neurologie oder Bewusstlosigkeit sollte daher auf die Gabe von Fibrinolytika oder GP-IIb/IIIa-Antagonisten zunächst verzichtet werden.

Eine telemetrische EKG-Übertragung und optimierte hausinterne Alarmpläne ermöglichen die Durchführung einer Herzkatheteruntersuchung innerhalb der geforderten Zeitlimits.

Abstract

Cerebral lesions may contribute to a transient left ventricular ballooning syndrome that can mimic acute myocardial infarction. Fibrinolytic therapy or GP IIb/IIIa antagonists should be withheld in cases of neurologic disorder or unconsciousness even in the presence of ST-elevation.

ECG transmission by telemetry and myocardial infarction alarm networks allow correct diagnosis and catheter treatment within required time limits.

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  1. Klinik für Innere Medizin III, Schwarzwald-Baar Klinikum, Vöhrenbacher Straße 23, 78050, Villingen-Schwenningen, Deutschland

    T. Miljak, R. Birkemeyer & W. Jung

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  1. T. Miljak
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  2. R. Birkemeyer
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  3. W. Jung
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Correspondence to T. Miljak.

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Miljak, T., Birkemeyer, R. & Jung, W. 40-jährige Patientin mit Kopfschmerzen und Infarkt-EKG. Internist 48, 1151–1156 (2007). https://doi.org/10.1007/s00108-007-1931-9

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  • DOI: https://doi.org/10.1007/s00108-007-1931-9

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