Tachycardia dependent early repolarisation pattern in subarachnoid haemorrhage related takotsubo syndrome

P Hankovszky; A Tömösvári; F Hawchar; T Farkas; L Rudas

doi:10.1016/j.jelectrocard.2021.05.001

Tachycardia dependent early repolarisation pattern in subarachnoid haemorrhage related takotsubo syndrome

J Electrocardiol. 2021 Jul-Aug:67:52-54. doi: 10.1016/j.jelectrocard.2021.05.001. Epub 2021 May 12.

Authors

P Hankovszky¹, A Tömösvári¹, F Hawchar¹, T Farkas¹, L Rudas²

Affiliations

¹ University of Szeged, Deparment of Anesthesiology and Intensive Care, Semmelweis utca 6, 6720 Szeged, Hungary.
² University of Szeged, Deparment of Anesthesiology and Intensive Care, Semmelweis utca 6, 6720 Szeged, Hungary. Electronic address: rudas.laszlo@med.u-szeged.hu.

PMID: 34082151
DOI: 10.1016/j.jelectrocard.2021.05.001

Abstract

We present a case of a patient who suffered subarachnoid haemorrhage (SAH), complicated by takotsubo syndrome, paroxysmal atrial fibrillation and ECG repolarisation abnormality, compatible with Brugada phenocopy. The early repolarisation morphology showed a paradox association with the cardiac cycle length; a relationship not yet documented in SAH. Our observation also sheds light on the genesis of the "spiked helmet" ECG sign.

Keywords: Brugada phenocopy; Early repolarisation; Spiked helmet sign; Subarachnoid haemorrhage; Takotsubo syndrome.

Publication types

Case Reports

MeSH terms

Atrial Fibrillation*
Electrocardiography
Humans
Subarachnoid Hemorrhage* / complications
Subarachnoid Hemorrhage* / diagnosis
Tachycardia
Takotsubo Cardiomyopathy* / complications
Takotsubo Cardiomyopathy* / diagnosis