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ID 110362
タイトルヨミ
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
タイトル別表記
A clinical study on severe neurogenic stress cardiomyopathy after subarachnoid hemorrhage
著者
羽星, 辰哉 徳島大学病院卒後臨床研修センター
八木, 謙次 徳島大学病院脳神経外科
松下, 展久 徳島大学病院脳神経外科
上田, 由佳 徳島大学病院卒後臨床研修センター|徳島大学病院循環器内科
里見, 淳一郎 徳島大学病院脳神経外科 KAKEN研究者をさがす
西, 京子 徳島大学病院卒後臨床研修センター|徳島大学病院脳神経外科 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
neurogenic stress cardiomyopathy
subarachnoid hemorrhage
sympathetic nerve
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
68
5-6
開始ページ
233
終了ページ
238
並び順
233
発行日
2012-12-25
EDB ID
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系
病院