References

artery. During percutaneous coronary intervention, when there was balloon infla-tion, he had identical head pain with ECG changes but with no chest discomfort. After coronary intervention he was free of the pain on exertion. About half of patients with a subarach-noid haemorrhage have ECG abnormali-ties.2 Failure to recognise that ECG abnor-malities are common in patients with sub-arachnoid haemorrhage can lead to them receiving inappropriate cardiac treatment and delayed investigation for subarachnoid haemorrhage. In the case I describe, the localisation of the pain resulted in initial misdiagnosis of cardiac pain as subarach-noid haemorrhage