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ISSN 2448-8909 (Print)

2010, Number 4

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Med Crit 2010; 24 (4)

Left ventricular dysfunction secondary to subarachnoid hemorrage

Carrillo ER, García GM, Martínez HL

Language: Spanish
References: 15
Page: 196-200
PDF size: 209.51 Kb.


ABSTRACT

Neuromediated stunned myocardium is a complication of subarachnoid hemorrhage. The pathophysiology of this entity is secondary to massive release of catecholamines. It´s characterized by left-ventricular dysfunction and increased levels of Troponin I, Natriuretic peptide-B, mioglobin and CPK-MB. This alterations are not related to ischemic event and induced a clinical and echocardiographic manifestations of stunned myocardium. We report a case of subarachnoid hemorrhage, coexisting with ischemic electrocardiographic changes, increased cardiac-specific necrosis biomarkers and regional wall motion abnormalities.


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