Subarachnoid Hemorrhage

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Abstract
VARIOUS electrocardiographic abnormalities have been described in patients with subarachnoid hemorrhage, meningitis, and other central nervous system processes.1,2We report a patient with a pathologically proved subarachnoid hemorrhage in whom the ECG changes were striking and included both complete heart block and pronounced abnormalities of the ST segment and T wave. Report of a Case A 65-year-old woman was admitted to the hospital with the abrupt onset of severe headache, diplopia, nausea, and vomiting. She gave a history of mild hypertension, controlled with thiazides, but no history of heart disease, angina, or stroke. On admission, her blood pressure was 200/100 mm Hg; pulse, 88 beats per minute; and temperature, 36.8 C (98.4 F) per rectum. The patient was somnolent, and she had moderate nuchal rigidity. Her heart sounds were normal; a grade 2 systolic ejection murmur was heard at the left sternal border and a fourth heart sound at