Page 45 - Cardiac abnormalities after aneurysmal subarachnoid hemorrhage
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Cardiac dysfunction after aneurysmal subarachnoid hemorrhage: relationship with outcome Table 1: Baseline characteristics.
Total
DCI
Death
Poor outcome
(N=301)
(n=164)
(n=58)
(n=66)
Female sex 210(70%) Mean age (in years)( ±SD) 57(±13) Coronary risk factors
Hypertension 90(30%) Hypercholesterolemia 26(9%) Diabetes Mellitus 14(5%) Smoking (previous and current) 115(38%) Medical history
Myocardial infarction* 8(3%)
Percutaneous Coronary Intervention 7(2%) (PCI)
Coronary Artery Bypass Graft 4(1%) (CABG)
Ischemic Stroke 16(5%) Intracerebral Hemorrhage 7(2%)
Family history of cardiovascular 33(11%) disease
Location of aneurysm in Anterior circulation
Anterior Communicating Artery 127(42%) Anterior cerebral artery 12(4%) Middle cerebral artery 61(20%) Internal carotid artery 61(20%) Location of aneurysm in Posterior circulation Posterior cerebral artery 11(4%) Basilar artery 21(7%) Vertebral artery 10(3%) Aneurysm treatment
Coiling 183(60%)
Clipping 95(31%)
None 25(8%)
Amount of blood > median (Hijdra 142(47%) =19 points)
Clinical condition on admission (WFNS)
99(60%) 37(64%) 43(65%) 58(±13) 64(±14) 63(±14)
44(27%) 22(38%) 27(41%) 13(8%) 5(9%) 5(8%) 7(4%) 4(7%) 5(8%) 52(32%) 15(26%) 16(24%)
4(2%) 1(2%) 2(3%)
2(1%) 0(0%) 0(0%) 3
1(1%) 0(0%) 0(0%)
8(5%) 7(12%) 7(11%) 2(1%) 1(2%) 1(2%) 12(7%) 3(5%) 3(5%)
61(37%) 22(38%) 28(42%) 6(4%) 1(2%) 1(2%) 31(19%) 13(22%) 15(23%) 28(17%) 12(21%) 12(18%)
5(3%) 2(3%) 2(3%) 9(5%) 6(10%) 6(9%) 6(4%) 2(3%) 2(3%)
77(47%) 26(45%) 30(46%) 58(35%) 10(17%) 14(21%) 11(7%) 22(38%) 22(33%) 84(51%) 35(60%) 38(58%)
I
II
III
IV
V
Acute hydrocephalus
104(34%) 29(18%) 3(5%) 5(8%) 54(18%) 30(18%) 10(17%) 11(17%) 24(8%) 14(9%) 4(7%) 5(8%) 64(21%) 40(24%) 20(35%) 23(35%) 57(19%) 33(20%) 21(36%) 22(33%) 107(35%) 55(34%) 23(40%) 27(41%)
Baseline characteristics. N: number of patients; CABG: Coronary artery bypass graft; WFNS: World Federation of Neurosurgical Societies subarachnoid grading scale. SD: Standard Deviation; *: The patients with prior myocardial infarction, PCI or CABG that were included did not have ECG abnormalities or echocardiographic abnormalities prior to the SAH.
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