Electrocardiographic changes in subarachnoid hemorrhage secondary to cerebral aneurysm. Report of 70 cases

1992 ◽  
Vol 13 (5) ◽  
pp. 409-413 ◽  
Author(s):  
M. Salvati ◽  
F. Cosentino ◽  
M. Artico ◽  
M. Ferrari ◽  
D. Franchi ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cerebral Aneurysm ◽  
Electrocardiographic Changes

Seasonal Variation in the Incidence of Aneurysmal Subarachnoid Hemorrhage Associated with Age and Gender: 20-Year Results from the Yamaguchi Cerebral Aneurysm Registry

2013 ◽  
Vol 41 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Hideyuki Ishihara ◽  
Ichiro Kunitsugu ◽  
Sadahiro Nomura ◽  
Hiroyasu Koizumi ◽  
Hiroshi Yoneda ◽  
...  
Keyword(s):  
Seasonal Variation ◽  
Subarachnoid Hemorrhage ◽  
Cerebral Aneurysm ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Age And Gender ◽  
And Gender

CT findings of subarachnoid hemorrhage due to ruptured cerebral aneurysm

1990 ◽  
Vol 26 (4) ◽  
pp. 682
Author(s):  
P N Kim ◽  
W K Bae ◽  
I Y Kim ◽  
K S Lee ◽  
B H Lee ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cerebral Aneurysm ◽  
Ct Findings

scholarly journals Follow-Up DSA at Day 9 ± 2 after Subarachnoid Hemorrhage Predicts Long-Term Recurrence of Ruptured Cerebral Aneurysm after Coiling

2021 ◽  
Author(s):  
Norihito Shimamura ◽  
Masato Naraoka ◽  
Takeshi Katagai ◽  
Nozomi Fujiwara ◽  
Kosuke Katayama ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cerebral Aneurysm

Late ophthalmological manifestations in patients with subarachnoid hemorrhage and coiling of cerebral aneurysm

2018 ◽  
Vol 52 (2) ◽  
pp. 181-187 ◽  
Author(s):  
Iwona Obuchowska ◽  
Grzegorz Turek ◽  
Jan Kochanowicz ◽  
Andrzej Lewszuk ◽  
Zofia Mariak ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cerebral Aneurysm

Electrocardiographic Abnormalities in Patients With Subarachnoid Hemorrhage

2002 ◽  
Vol 11 (1) ◽  
pp. 48-56 ◽  
Author(s):  
Claire E. Sommargren
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Clinical Significance ◽  
Neurological Disorder ◽  
Associated Factors ◽  
High Prevalence ◽  
Patients At Risk ◽  
Electrocardiographic Changes ◽  
Insight Into ◽  
Electrocardiographic Abnormalities ◽  
Holter Recordings

Subarachnoid hemorrhage is a serious neurological disorder that is often complicated by the occurrence of electrocardiographic abnormalities unexplained by preexisting cardiac conditions. These morphological waveform changes and arrhythmias often are unrecognized or misinterpreted, potentially placing patients at risk for inappropriate management. Many previous investigations were retrospective and relied on data collected in an unsystematic manner. More recent studies that included use of serial electrocardiograms and Holter recordings have provided new insight into the high prevalence of electrocardiographic changes in subarachnoid hemorrhage. Research on the prevalence, duration, and clinical significance of these electrocardiographic abnormalities and on associated factors and etiological theories is reviewed.

scholarly journals Cigarette smoking and outcomes after aneurysmal subarachnoid hemorrhage: a nationwide analysis

2017 ◽  
Vol 129 (2) ◽  
pp. 446-457 ◽  
Author(s):  
Hormuzdiyar H. Dasenbrock ◽  
Robert F. Rudy ◽  
Pui Man Rosalind Lai ◽  
Timothy R. Smith ◽  
Kai U. Frerichs ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Subarachnoid Hemorrhage ◽  
Cigarette Smoking ◽  
Cerebral Aneurysm ◽  
Scale Score ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Institutional Care ◽  
Care Facility ◽  
Severity Scale ◽  
The Impact

OBJECTIVEAlthough cigarette smoking is one of the strongest risk factors for cerebral aneurysm development and rupture, there are limited data evaluating the impact of smoking on outcomes after aneurysmal subarachnoid hemorrhage (SAH). Additionally, two recent studies suggested that nicotine replacement therapy was associated with improved neurological outcomes among smokers who had sustained an SAH compared with smokers who did not receive nicotine.METHODSPatients who underwent endovascular or microsurgical repair of a ruptured cerebral aneurysm were extracted from the Nationwide Inpatient Sample (NIS, 2009–2011) and stratified by cigarette smoking. Multivariable logistic regression analyzed in-hospital mortality, complications, tracheostomy or gastrostomy placement, and discharge to institutional care (a nursing or an extended care facility). Additionally, the composite NIS-SAH outcome measure (based on mortality, tracheostomy or gastrostomy, and discharge disposition) was evaluated, which has been shown to have excellent agreement with a modified Rankin Scale score greater than 3. Covariates included in regression constructs were patient age, sex, race/ethnicity, insurance status, socioeconomic status, comorbidities (including hypertension, drug and alcohol abuse), the NIS-SAH severity scale (previously validated against the Hunt and Hess grade), treatment modality used for aneurysm repair, and hospital characteristics. A sensitivity analysis was performed matching smokers to nonsmokers on age, sex, number of comorbidities, and NIS-SAH severity scale score.RESULTSAmong the 5784 admissions evaluated, 37.1% (n = 2148) had a diagnosis of tobacco use, of which 31.1% (n = 1800) were current and 6.0% (n = 348) prior tobacco users. Smokers were significantly younger (mean age 51.4 vs 56.2 years) and had more comorbidities compared with nonsmokers (p < 0.001). There were no significant differences in mortality, total complications, or neurological complications by smoking status. However, compared with nonsmokers, smokers had significantly decreased adjusted odds of tracheostomy or gastrostomy placement (11.9% vs 22.7%, odds ratio [OR] 0.63, 95% confidence interval [CI] 0.51–0.78, p < 0.001), discharge to institutional care (OR 0.71, 95% CI 0.57–0.89, p = 0.002), and a poor outcome (OR 0.65, 95% CI 0.55–0.77, p < 0.001). Similar statistical associations were noted in the matched-pairs sensitivity analysis and in a subgroup of poor-grade patients (the upper quartile of the NIS-SAH severity scale).CONCLUSIONSIn this nationwide study, smokers experienced SAH at a younger age and had a greater number of comorbidities compared with nonsmokers, highlighting the negative ramifications of cigarette smoking among patients with cerebral aneurysms. However, smoking was also associated with paradoxical superior outcomes on some measures, and future research to confirm and further understand the basis of this relationship is needed.

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