PMID: 22362283Mar 1, 2012Paper

Subarachnoid hemorrhage complicated with neurogenic pulmonary edema and takotsubo-like cardiomyopathy

Neurologia Medico-chirurgica
Joji InamasuYuichi Hirose

Abstract

Patients with poor-grade subarachnoid hemorrhage (SAH) are often complicated with acute cardiopulmonary dysfunctions, particularly neurogenic pulmonary edema (NPE) and takotsubo-like cardiomyopathy (TCM). This study retrospectively investigated the incidence, demographics, clinical characteristics, and outcomes of patients with SAH complicated with both NPE and TCM (NPE-TCM). The effects of aneurysm location and other clinical variables on the incidence of NPE-TCM were also investigated. Among 234 SAH patients treated during 5-year period, 16 (7%) presented with NPE, and transthoracic ultrasonography revealed that 14 of these 16 patients (88%) also had TCM. All 14 patients with NPE-TCM had poor-grade SAH (World Federation of Neurosurgical Societies grades IV and V). Ruptured posterior circulation aneurysm was predictive of NPE-TCM, but other clinical variables were not. Eight of the 14 patients with NPE-TCM could undergo treatment for ruptured aneurysm. Long-term outcomes were favorable in 5 of the 8 patients. Grade IV SAH patients had significantly better outcomes than grade V patients. TCM develops frequently in SAH patients presenting with NPE, and transthoracic ultrasonography should be conducted routinely in that populatio...Continue Reading

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Citations

Oct 3, 2014·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Joji InamasuYuichi Hirose
Oct 31, 2015·The American Journal of the Medical Sciences·Tatsushi MutohTatsuya Ishikawa
Oct 17, 2015·The American Journal of Emergency Medicine·Wei-Lung ChenYung-Cheng Wang
Jul 6, 2015·International Journal of Cardiology·Josef Finsterer, Anna Bersano
Sep 1, 2015·Surgical Neurology International·Benjamin W Y LoMitchell A H Levine
Feb 7, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Masato ShimizuMasayasu Hiraoka
Nov 14, 2014·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Etsuko SatohHiroyuki Yokota
Jan 22, 2015·Future Cardiology·Sowmya PinnamaneniWilbert S Aronow
Apr 23, 2013·International Journal of Cardiology·Joji InamasuYuichi Hirose
Jul 28, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Joji InamasuYuichi Hirose
Nov 13, 2016·Journal of Critical Care·Ali KerroJason J Chang
Jul 2, 2014·The Neurohospitalist·Lioudmila V KarnatovskaiaWilliam D Freeman
Nov 18, 2016·European Heart Journal. Acute Cardiovascular Care·Akram Y ElgendyAhmed N Mahmoud
Apr 3, 2014·Stroke; a Journal of Cerebral Circulation·Tatsushi MutohTatsuya Ishikawa
Sep 14, 2019·Journal of Neurosurgery·Nobutaka HorieTakayuki Matsuo
Apr 30, 2014·Acute Medicine & Surgery·Teruhiro InoueKen Okamoto
Feb 9, 2021·World Neurosurgery·Cordell BakerPhilipp Taussky
Dec 15, 2020·The American Journal of Emergency Medicine·Edward Lo-CaoAndreas Fahlström

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