Severe ventricular dysfunction secondary to subarachnoid hemorrhage

Abstract

A 39-year-old man was brought to the emergency department in a coma. The electrocardiogram showed partial left bundle-branch block and ST elevation in precordial leads, and serum creatinine kinase activity was elevated. Two- dimensional echocardiography revealed severe biventricular dysfunction. Autopsy demonstrated the presence of subarachnoid hemorrhage. Coronary arteries and the myocardial were macroscopically normal.