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
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Title Alternative | A clinical study on severe neurogenic stress cardiomyopathy after subarachnoid hemorrhage
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Author |
Haboshi, Tatsuya
The Post-graduate Education Center, Tokushima University Hospital
Yagi, Kenji
Department of Neurosurgery, Tokushima University Hospital
Tada, Yoshiteru
Department of Neurosurgery, Tokushima University Hospital
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Matsushita, Nobuhisa
Department of Neurosurgery, Tokushima University Hospital
Kanematsu, Yasuhisa
Department of Neurosurgery, Tokushima University Hospital
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Bando, Mika
Department of Cardiovascular Medicine, Tokushima University Hospital
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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
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Satomi, Junichiro
Department of Neurosurgery, Tokushima University Hospital
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Nishi, Kyoko
The Post-graduate Education Center, Tokushima University Hospital|Department of Neurosurgery, Tokushima University Hospital
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Sata, Masataka
Department of Cardiovascular Medicine, Tokushima University Hospital
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Nagahiro, Shinji
Department of Neurosurgery, Tokushima University Hospital
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Keywords | neurogenic stress cardiomyopathy
subarachnoid hemorrhage
sympathetic nerve
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Content Type |
Journal Article
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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.
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Journal Title |
四国医学雑誌
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ISSN | 00373699
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NCID | AN00102041
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Publisher | 徳島医学会
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Volume | 68
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Issue | 5-6
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Start Page | 233
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End Page | 238
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Sort Key | 233
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Published Date | 2012-12-25
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EDB ID | |
FullText File | |
language |
jpn
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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