ID 110362
Title Transcription
クモマクカ シュッケツ ニ ゾクハツ シタ ジュウショウ ノ Neurogenic stress cardiomyopathy ノ ケントウ
Title Alternative
A clinical study on severe neurogenic stress cardiomyopathy after subarachnoid hemorrhage
Author
Haboshi, Tatsuya The Post-graduate Education Center, Tokushima University Hospital
Yagi, Kenji Department of Neurosurgery, Tokushima University Hospital
Matsushita, Nobuhisa Department of Neurosurgery, Tokushima University Hospital
Bando, Mika Department of Cardiovascular Medicine, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Ueda, Yuka The Post-graduate Education Center, Tokushima University Hospital|Department of Cardiovascular Medicine, Tokushima University Hospital
Yamada, Hirotsugu Department of Cardiovascular Medicine, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Satomi, Junichiro Department of Neurosurgery, Tokushima University Hospital KAKEN Search Researchers
Nishi, Kyoko The Post-graduate Education Center, Tokushima University Hospital|Department of Neurosurgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sata, Masataka Department of Cardiovascular Medicine, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
neurogenic stress cardiomyopathy
subarachnoid hemorrhage
sympathetic nerve
Content Type
Journal Article
Description
Neurogenic stress cardiomyopathy(NSC)is caused by catecholamine excess and/or sympathetic nerve activation, presented as a transient cardiac wall motion abnormality. It is reported to occur in 4‐15% of patients suffering from subarachnoid hemorrhage(SAH). Of particular concern, severe NSC leading to cardiac dysfunction is especially important to consider when treating SAH patients in the acute stage because it could affect the prognosis of SAH and the timing of surgery. Currently, the incidence of severe NSC and risk factors are not well characterized. In the present study, we reviewed the medical records of85patients(20men,65women)who were admitted and treated for ruptured cerebral aneurysms at Tokushima University Hospital during the period from January 2010 to May 2012. NSC occurred in five patients(5.9%), and three of those patients(3.5%)showed severe NSC with cardiac dysfunction. NSC was observed only in patients with poor SAH-grade, and those resulting in severe cardiac dysfunction were all in women. Notably, the incidence of severe NSC was particularly high in female patients with poor SAH-grades (17.6%). We reported the morbidity of severe NSC in patients with SAH. It is important to pay special attention to severe NSC in female patients, particular those with poor SAH-grades.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
68
Issue
5-6
Start Page
233
End Page
238
Sort Key
233
Published Date
2012-12-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences
University Hospital