Left Ventricular Wall Motion Abnormalities in Subarachnoid Hemorrhage: An Echocardiographic Study

摘要: Although electrocardiographic (ECG) abnormalities and autopsy evidence of myocardial necrosis are associated with subarachnoid hemorrhage, their relation to in vivo measures left ventricular function this condition has not been established. Thirteen patients hemorrhage no prior history heart disease were studied by two-dimensional echocardiography, performed initially 10 48 h (mean 18) after admission serially for ≤14 days. Serum creatine kinase (total isoenzyme) was determined 5 times over the first h; ECGs daily. Neurologic state assessed use a standard grading system. Four (Group I) exhibited wall motion one eight segments. In two these there also apical mural thrombus that embolized patient, leading further neurologic deterioration. The initial isoenzyme higher Group I than II (patients without abnormalities) (10.3 versus 2.1 U/liter, p From series it appears high grade is often accompanied may contribute morbidity mortality such patients. These readily detected echocardiography.