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Erik P. Hess, MD, Eric T. Boie, MD, Roger D. White, MD 

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Presentation on theme: "Erik P. Hess, MD, Eric T. Boie, MD, Roger D. White, MD "— Presentation transcript:

1 Survival of a Neurologically Intact Patient With Subarachnoid Hemorrhage and Cardiopulmonary Arrest 
Erik P. Hess, MD, Eric T. Boie, MD, Roger D. White, MD  Mayo Clinic Proceedings  Volume 80, Issue 8, Pages (August 2005) DOI: / Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

2 FIGURE 1 Electrocardiogram obtained on patient's arrival at our emergency department reveals atrial fibrillation with a junctional rhythm and ST-segment elevation in leads II, III, and aVF with reciprocal depression in leads I, aVL, and V2-V6, suggestive of inferior ST-segment elevation myocardial infarction. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

3 FIGURE 2 Head computed tomography reveals acute subarachnoid blood in the interpeduncular cistern (arrow) and cerebral edema with sulcal effacement. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

4 FIGURE 3 Electrocardiogram obtained after ventricular fibrillation, return of spontaneous circulation, and return from the computed tomographic scanner reveals a junctional rhythm with no evidence of atrial activity. The ST-segment elevation in leads III and aVF with reciprocal depression in leads I, aVL, and V2-V6 is more pronounced. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

5 FIGURE 4 Cerebral angiogram shows an aneurysm (5 × 4.5 × 4 mm) with a 3-mm neck along the left anterior communicating artery before (arrow, left) and after (arrow, right) coiling. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions


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