Cardiac troponin I elevation in subarachnoid hemorrhage: Should we worry?
نویسندگان
چکیده
Andrew M. Naidech, MD, MSPH; Kurt T. Kreiter, PhD; Nazli Janjua, MD; Noeleen D. Ostapkovich, MS; Augusto Parra, MD, MPH; Christopher Commichau, MD; Brian Fred M. Fitzsimmons, MD; E. Sander Connolly, MD; Stephan A. Mayer, MD From the Departments of Neurology (A.M.N., K.T.K., N.J., N.D.O., A.P., C.C., B.-F.M.F., S.A.M.) and Neurosurgery (A.P., C.C., B.-F.M.F., E.S.C., S.A.M.) Columbia University College of Physicians and Surgeons, New York, NY. Circulation 2003;112:2851-2856.
منابع مشابه
Cardiac manifestations of subarachnoid hemorrhage
INTRODUCTION Cardiac manifestations of intracranial subarachnoid hemorrhage patients include mild electrocardiogram variability, reversible left ventricular dysfunction (Takotsubo), non-ST elevation myocardial infarction, ST-elevation myocardial infarction and cardiac arrest, but their clinical relevance is unclear. The aim of the present study was to categorize the relative frequency of differ...
متن کاملCardiac Complication Following Subarachnoid Hemorrhage
Besides its severe neurological injuries, spontaneous subarachnoid hemorrhage (SAH) commonly causes cardiac complications. These complications could include three different aspects of cardiac diseases, that is, electrocardiographic abnormalities, myocardial injuries, and left ventricular dysfunction. These complications not only may lead to misdiagnosis of SAH as myocardial infarction, but also...
متن کاملCardiac troponin elevation, cardiovascular morbidity, and outcome after subarachnoid hemorrhage.
BACKGROUND Cardiac troponin I (cTI) release occurs frequently after subarachnoid hemorrhage (SAH) and has been associated with a neurogenic form of myocardial injury. The prognostic significance and clinical impact of these elevations remain poorly defined. METHODS AND RESULTS We studied 253 SAH patients who underwent serial cTI measurements for clinical or ECG signs of potential cardiac inju...
متن کاملSubarachnoid Hemorrhage Misdiagnosed as an Acute ST Elevation Myocardial Infarction
Without significant coronary artery stenosis, ischemic electrocardiographic change including ST segment elevation, segmental wall motion abnormality and elevated serum cardiac-specific markers (creatine kinase-MB, Troponin-T) may develop after central nervous system injuries such as subarachnoid, intracranial or subdural hemorrhage. Misdiagnosing these patients as acute myocardial infarction ma...
متن کاملPredictors of neurocardiogenic injury after subarachnoid hemorrhage.
BACKGROUND AND PURPOSE Subarachnoid hemorrhage (SAH) frequently results in myocardial necrosis with release of cardiac enzymes. Historically, this necrosis has been attributed to coronary artery disease, coronary vasospasm, or oxygen supply-demand mismatch. Experimental evidence, however, indicates that excessive release of norepinephrine from the myocardial sympathetic nerves is the most likel...
متن کامل