emDocs - November 14, 2018 - Author: Tannenbaum LL
Edited by: Santistevan J; Singh M and Long B
"Take home points:
- In patients with intracranial hemorrhage, hypertension and bradycardia can be signs that herniation is occurring.
- There are many nonspecific ECG changes seen in patients with intracranial hemorrhage including ST changes, QT prolongation, and T-wave inversions.
- Occasionally these changes can mimic acute coronary syndromes including STEMI and can lead to misdiagnosis, unnecessary thrombolytics, or PCI.
- Sometimes, it isn’t the heart"