scholarly journals Pulmonary Edema and Stunned Myocardium in Subarachnoid Hemorrhage

Cureus ◽  
2020 ◽  
Author(s):  
Ryan Naum ◽  
Asia Filatov ◽  
Kettia Alusma-Hibbert ◽  
Patricio S Espinosa
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Pulmonary Edema ◽  
Stunned Myocardium

scholarly journals Neurogenic Pulmonary Edema and Large Negative T Waves Associated with Subarachnoid Hemorrhage.

2001 ◽  
Vol 40 (8) ◽  
pp. 826-828 ◽  
Author(s):  
Masafumi TAKAHASHI ◽  
Takeshi MITSUHASHI ◽  
Takaaki KATSUKI ◽  
Uichi IKEDA ◽  
Hidenobu TANAKA ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Pulmonary Edema ◽  
Neurogenic Pulmonary Edema ◽  
T Waves

Abstract WP428: Cardiopulmonary Response to Ischemic Stroke Varies by Stroke Location

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
John Probasco ◽  
Tiffany Chang ◽  
David Victor ◽  
Paul Nyquist
Keyword(s):  
Ischemic Stroke ◽  
Pulmonary Edema ◽  
Basilar Artery ◽  
Cardiac Dysfunction ◽  
Medical Center ◽  
Elevated Serum ◽  
Acute Pulmonary Edema ◽  
Stunned Myocardium ◽  
X Rays ◽  
Qtc Prolongation

Introduction: Ischemic stroke is associated with electrocardiographic and cardiac enzyme changes indicative of stunned myocardium. It is unknown if acute pulmonary edema occurs independent of cardiac dysfunction in ischemic stroke or in association with particular vascular distributions. Hypothesis: Ischemic strokes in the posterior fossa are associated with acute pulmonary edema independent of stroke related cardiac dysfunction. Methods: This is a retrospective study of ischemic stroke patients treated over two years at a tertiary medical center, including patients with basilar artery stroke (N=18), RMCA (N=31) and LMCA (N=27) distribution strokes involving the insula, and TIA controls (N=67). Of the 143 patients, 53% were female, 45% were black, 40% had a history of stroke or TIA, and 73% had hypertension. Discharge diagnosis, brain imaging, and review of chest x-rays (by two blinded reviewers) were used to determine the proportion of patients within each group with evidence of pulmonary edema. Cardiac variables including ejection fraction, serum troponin levels (>0.06 ng/mL), non-specific ST segment changes and QTc prolongation (>460ms) were compared between groups. Results: Patients with basilar artery occlusions and associated ischemic stroke developed pulmonary edema during their hospitalization more frequently than control patients (0.67 vs. 0.01, P<0.0001). There were no signs of stunned myocardium or CHF as indicated by elevated troponin, altered echocardiography, or QTc prolongation for the basilar group. None of the patients in the basilar group with pulmonary edema had altered echocardiography. Patients with RMCA and LMCA distribution strokes were noted to have a higher frequency of pulmonary edema compared to the controls (0.23, P=0.0012; 0.41, P=0.002), at a proportion less than the basilar group (for RMCA, P=0.005; LMCA, P=0.13,). The proportions of patients with elevated serum troponin and QTc prolongation were significantly greater for RMCA (0.41 vs. 0.05, P=0.0008; 0.40 vs.0.16, P=0.017) and LMCA (0.33 vs. 0.05, P=0.008; 0.36 vs. 0.16, P=0.046) patients relative to controls. Conclusion: Pulmonary edema occurs independently of cardiac stunning or dysfunction in patients with basilar artery occlusions.

The role of catecholamines in the pathogenesis of neurogenic pulmonary edema associated with subarachnoid hemorrhage

2012 ◽  
Vol 154 (12) ◽  
pp. 2179-2185 ◽  
Author(s):  
Joji Inamasu ◽  
Keiko Sugimoto ◽  
Yasuhiro Yamada ◽  
Tsukasa Ganaha ◽  
Keisuke Ito ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Pulmonary Edema ◽  
Neurogenic Pulmonary Edema

scholarly journals Impact of Clipping versus Coiling on Postoperative Hemodynamics and Pulmonary Edema after Subarachnoid Hemorrhage

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Nobutaka Horie ◽  
Mitsutoshi Iwaasa ◽  
Eiji Isotani ◽  
Shunsuke Ishizaka ◽  
Tooru Inoue ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Pulmonary Edema ◽  
Medical Information ◽  
Early Period ◽  
Resistance Index ◽  
University Hospital ◽  
Volume Index ◽  
Endovascular Coiling ◽  
Pulmonary Vascular Permeability ◽  
The Impact

Volume management is critical for assessment of cerebral vasospasm after aneurysmal subarachnoid hemorrhage (SAH). This multicenter prospective cohort study compared the impact of surgical clipping versus endovascular coiling on postoperative hemodynamics and pulmonary edema in patients with SAH. Hemodynamic parameters were measured for 14 days using a transpulmonary thermodilution system. The study included 202 patients, including 160 who underwent clipping and 42 who underwent coiling. There were no differences in global ejection fraction (GEF), cardiac index, systemic vascular resistance index, or global end-diastolic volume index between the clipping and coiling groups in the early period. However, extravascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) were significantly higher in the clipping group in the vasospasm period. Postoperative C-reactive protein (CRP) level was higher in the clipping group and was significantly correlated with postoperative brain natriuretic peptide level. Multivariate analysis found that PVPI and GEF were independently associated with high EVLWI in the early period, suggesting cardiogenic edema, and that CRP and PVPI, but not GEF, were independently associated with high EVLWI in the vasospasm period, suggesting noncardiogenic edema. In conclusion, clipping affects postoperative CRP level and may thereby increase noncardiogenic pulmonary edema in the vasospasm period. His trial is registered with University Hospital Medical Information NetworkUMIN000003794.

scholarly journals Pulmonary Edema and Cardiac Dysfunction Following Subarachnoid Hemorrhage

2005 ◽  
Vol 32 (2) ◽  
pp. 178-185 ◽  
Author(s):  
Nancy McLaughlin ◽  
Michel W. Bojanowski ◽  
François Girard ◽  
André Denault
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cardiac Function ◽  
Pulmonary Edema ◽  
Cardiac Dysfunction ◽  
Early Onset ◽  
Chart Review ◽  
Cardiac Involvement ◽  
Ventricular Dysfunction ◽  
Retrospective Chart Review ◽  
Late Period

ABSTRACT:Background:Pulmonary edema (PE) can occur in the early or late period following subarachnoid hemorrhage (SAH). The incidence of each type of PE is unknown and the association with ventricular dysfunction, both systolic and diastolic, has not been described.Methods:Retrospective chart review of 178 consecutive patients with SAH surgically treated over a three-year period. Patients with pulmonary edema diagnosed by a radiologist were included. Early onset SAH was defined as occurring within 12 hours. Cardiac function at the time of the PE was analyzed using hemodynamic and echocardiographic criteria of systolic and diastolic dysfunction. Pulmonary edema was observed in 42 patients (28.8%) and was more often delayed (89.4%). Evidence of cardiac involvement during PE varied between 40 to 100%.Results and conclusions:Pulmonary edema occurs in 28.8% of patients after SAH, and is most commonly delayed. Cardiac dysfunction, both systolic and diastolic, is commonly observed during SAH and could contribute to the genesis of PE after SAH.

815 Troponin Trend Can Differentiate “Stunned” Myocardium Associated with Aneurysmal Subarachnoid Hemorrhage vs. Myocardial Infarction

Neurosurgery ◽  
2001 ◽  
Vol 49 (2) ◽  
pp. 540-541
Author(s):  
Ketan R. Bulsara ◽  
Matt McGirt ◽  
Lawrence Liao ◽  
Alan T. Villavicencio ◽  
Cecil Borel ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Subarachnoid Hemorrhage ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Stunned Myocardium

Could cardiac biomarkers predict neurogenic pulmonary edema in aneurysmal subarachnoid hemorrhage?

2017 ◽  
Vol 159 (4) ◽  
pp. 705-712 ◽  
Author(s):  
Tijana Nastasovic ◽  
Branko Milakovic ◽  
Jelena Eric Marinkovic ◽  
Danica Grujicic ◽  
Mila Stosic
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Pulmonary Edema ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Cardiac Biomarkers ◽  
Neurogenic Pulmonary Edema

Circulatory characteristics of normovolemia and normotension therapy after subarachnoid hemorrhage, focusing on pulmonary edema

2012 ◽  
Vol 154 (12) ◽  
pp. 2195-2202 ◽  
Author(s):  
Yohei Sato ◽  
Eiji Isotani ◽  
Yoshihiro Kubota ◽  
Yasuhiro Otomo ◽  
Kikuo Ohno
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Pulmonary Edema
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