Correlations of prognosis, outcomes with myocardial dysfunction of aneurysmal subarachnoid hemorrhage
10.3760/cma.j.issn.1008-1372.2016.07.015
- VernacularTitle:动脉瘤性蛛网膜下腔出血患者心功能障碍与治疗结果及预后的关系探讨
- Author:
Lei FENG
;
Tao LIN
;
Haijiang CHE
;
Peng WANG
- Publication Type:Journal Article
- Keywords:
Subarachnoid hemorrhage/CO;
Heart failure/CO;
Brain ischemia/CO;
Prognosis
- From:
Journal of Chinese Physician
2016;18(7):1013-1016
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlation between aneurysmal subarachnoid hDepartment of Neurosurgery,Xi Dian Group Hospital,Xi'an 710077,Chinaemorrhage (aSAH) and myocardial dysfunction (MD).Methods Totally 96 cases of aSAH patients meeting the criterion were chosen,and the correlations of electrocardiograph (ECG),and ultrasonic cardiogram (UCG)with delayed cerebral ischemia (DCI),death and poor outcome and death were analyzed.Results Of the 93 cases of aSAH patients meeting the criterion,DCI rate was 59.2%,death rate was 19.4%,and poor outcome rate was 21.5%.With multivariable Poisson regression analysis,the results showed that wall motion score index (WMSI) > 1.1 was correlated with death and poor outcome,mid-ventricular wall motion abnormality (WMAs) was correlated with death,and apical WMAs was correlated with DCI.Conclusions Myocardial dysfunction is significantly related to outcome of aSAH.Thus,this study may provide a reference for prognosis assessment and treatment of aSAH.