Comparison of cerebral-cardiac syndrome caused by nonaneurysmal or aneurysmal subarachnoid hemorrhage.
نویسندگان
چکیده
OBJECTIVE To investigate the difference between myocardial injuries caused by nonaneurysmal subarachnoid hemorrhage (SAH) or aneurysmal SAH. PATIENTS AND METHODS A total of 92 inpatients with SAH at early stage (within 48h), who were treated in our hospital from 2008 to 2014 were enrolled in this study. Differences in cerebral-cardiac syndrome seen in perimesencephalic subarachnoid hemorrhage (PMSAH), non-perimesencephalic subarachnoid hemorrhage (n-PMSAH), and aneurysmal subarachnoid hemorrhage (aSAH) were recorded based Hunt-Hess scores, electrocardiogram/echocardiography findings, and serum myocardial enzymes. RESULTS The Hunt-Hess grade was relatively lower in the PMSAH group (mainly at grades I and II) than in aSAH group and n-PMSAH group. The ECG score was significantly lower in the PMSAH Group than in the aSAH or n-PMSAH Group. In the PMSAH group, the left ventricular function was normal; in contrast, the left ventricular end-systolic diameter, left ventricular end-diastolic diameter, left ventricular wall thickness, and left ventricular ejection fraction showed certain abnormalities in the aSAH group and n-PMSAH group. The myocardial enzymes remarkably increased only in the aSAH group. CONCLUSIONS In PMSAH patients, the lower Hunt-Hess grade, milder ECG abnormalities, less changes in cardiac enzymes and echocardiography are associated with better prognosis. The clinical course and myocardial injuries are poorer in n-PMSAH patients when compared with the PMSAH patients but better than aSAH patients.
منابع مشابه
Nonaneurysmal perimesencephalic subarachnoid hemorrhage: CT and MR patterns that differ from aneurysmal rupture.
We describe a characteristic distribution of cisternal blood in 52 patients with nonaneurysmal subarachnoid hemorrhage proved by a normal angiogram. On CT, the center of the bleeding was located immediately anterior to the brainstem in all patients, which was confirmed in four patients who were studied with MR imaging. Extension to the ambient cisterns or to the basal parts of the sylvian fissu...
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BACKGROUND Nontraumatic spontaneous subarachnoid hemorrhage (SAH) is associated with a high mortality. This study was conducted to investigate the epidemiological features of nontraumatic spontaneous SAH in China. METHODS From January 2006 to December 2008, the clinical data of patients with nontraumatic SAH from 32 major neurosurgical centers of China were evaluated. Emergent digital subtrac...
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OBJECTIVE To estimate for the first time the incidence of subarachnoid hemorrhage (SAH) in type 1 diabetes. RESEARCH DESIGN AND METHODS Using the nationwide Finnish Diabetic Nephropathy (FinnDiane) Study cohort of 4,083 patients with type 1 diabetes (mean age of 37.4 ± 11.8 years at enrollment), we analyzed the incidence of first-ever SAH events. RESULTS During the follow-up time of 36,680 ...
متن کاملSubarachnoid Hemorrhage in Type 1 Diabetes A prospective cohort study of 4,083 patients with diabetes
RESULTSdDuring the follow-up time of 36,680 person-years (median 9.4 years), 15 patients with type 1 diabetes experienced an aneurysmal or nonaneurysmal SAH, and thus the crude incidence of SAH was 40.9 (95% CI 22.9–67.4) per 100,000 person-years. One patient had a verified aneurysmal SAH, and four patients died suddenly of an SAH, which was most likely caused by an aneurysm. SAHs in 10 out of ...
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ورودعنوان ژورنال:
- European review for medical and pharmacological sciences
دوره 18 24 شماره
صفحات -
تاریخ انتشار 2014