Cardiovascular manifestations of subarachnoid haemorrhage

Subarachnoid haemorrhage (SAH) is one of the devastating conditions, especially the aneurysmal bleed which has high mortality as well as morbidity. The mortality and morbidity caused by SAH have been recognised to be caused by both neurological and systemic causes. The alterations in systemic and ot...

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Main Author: Sethuraman Manikandan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2017-02-01
Series:Journal of Neuroanaesthesiology and Critical Care
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.199947
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author Sethuraman Manikandan
author_facet Sethuraman Manikandan
author_sort Sethuraman Manikandan
collection DOAJ
description Subarachnoid haemorrhage (SAH) is one of the devastating conditions, especially the aneurysmal bleed which has high mortality as well as morbidity. The mortality and morbidity caused by SAH have been recognised to be caused by both neurological and systemic causes. The alterations in systemic and other organ damage could cause death in up to 40% of SAH patients. Among the systemic manifestations, cardiovascular and respiratory complications increase hospitalisation and worsen the outcome. The main pathophysiological mechanism is the increased sympathetic activation causing myocardial necrosis. Various cardiovascular manifestations range from electrocardiogram changes to myocardial ischaemia, cardiac failure and arrhythmias. This review deals with the cardiac manifestations in SAH patients.
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spelling doaj.art-1dc85feed9c64cc0b3f0f3039a64cb4b2022-12-22T00:31:27ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2017-02-010404S38S4410.4103/2348-0548.199947Cardiovascular manifestations of subarachnoid haemorrhageSethuraman Manikandan0Professor and Head, Divison of Neuroanesthesia and Neurocritical Care, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, IndiaSubarachnoid haemorrhage (SAH) is one of the devastating conditions, especially the aneurysmal bleed which has high mortality as well as morbidity. The mortality and morbidity caused by SAH have been recognised to be caused by both neurological and systemic causes. The alterations in systemic and other organ damage could cause death in up to 40% of SAH patients. Among the systemic manifestations, cardiovascular and respiratory complications increase hospitalisation and worsen the outcome. The main pathophysiological mechanism is the increased sympathetic activation causing myocardial necrosis. Various cardiovascular manifestations range from electrocardiogram changes to myocardial ischaemia, cardiac failure and arrhythmias. This review deals with the cardiac manifestations in SAH patients.http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.199947cardiac enzymeselectrocardiographic changesneurogenic stunned myocardiumsubarachnoid haemorrhage
spellingShingle Sethuraman Manikandan
Cardiovascular manifestations of subarachnoid haemorrhage
Journal of Neuroanaesthesiology and Critical Care
cardiac enzymes
electrocardiographic changes
neurogenic stunned myocardium
subarachnoid haemorrhage
title Cardiovascular manifestations of subarachnoid haemorrhage
title_full Cardiovascular manifestations of subarachnoid haemorrhage
title_fullStr Cardiovascular manifestations of subarachnoid haemorrhage
title_full_unstemmed Cardiovascular manifestations of subarachnoid haemorrhage
title_short Cardiovascular manifestations of subarachnoid haemorrhage
title_sort cardiovascular manifestations of subarachnoid haemorrhage
topic cardiac enzymes
electrocardiographic changes
neurogenic stunned myocardium
subarachnoid haemorrhage
url http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.199947
work_keys_str_mv AT sethuramanmanikandan cardiovascularmanifestationsofsubarachnoidhaemorrhage