Page 76 - Cardiac abnormalities after aneurysmal subarachnoid hemorrhage
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Chapter 5
Table 1: Patient characteristics
Women
Age (mean, range)
Amount of extravasated blood (Hijdra score*) on admission (median, range)
Clinical condition (WFNS-score) on admission
I II III IV V
Aneurysm location
Internal carotid artery
Anterior communicating and cerebral arteries
Middle cerebral artery
Posterior communicating artery Vertebrobasilar circulation**
Aneurysm treatment Clip
Coil None
29 (83%) 61.9 (41.1 – 85.7) 17 (0 – 29)
8 (23%) 7 (20%) 5 (14%) 7 (20%) 8 (23%)
3 (9%) 18 (51%)
4 (11%) 3 (9%) 7 (20%)
7 (20%) 25 (71%) 3 (9%)
28 (76%) 58.1 (26.9 – 87.6) 19 (0 – 32)
24 (65%) 5 (14%) 2 (5%) 4 (11%) 2 (5%)
2 (5%) 19 (51%)
6 (16%) 8 (22%) 2 (5%)
14 (38%) 23 (62%) 0 (0%)
Cardiac dysfunction (n=35)
No cardiac dysfunction (n=37)
n = number; WFNS = World Federation of Neurological Surgeons.
* Hijdra score describes the amount of blood in the cisternal and ventricular spaces.10 ** Including vertebral, basilar, cerebellar and posterior cerebral arteries.
Mean CBF of the ROI with the lowest value was 15.83 mL/100g/min for patients with cardiac dysfunction and 18.59 mL/100g/min for patients without cardiac dysfunction (difference of means: -2.76; 95%CI:-5.43 to -0.09). Mean global CBF was 21.71 mL/100g/min for patients with cardiac dysfunction and 24.67 mL/100g/ min for patients without cardiac dysfunction (-2.96; 95%CI:-6.19 to 0.27). Mean TTP of the ROI with the highest value was 26.94 seconds for patients with and 23.10 seconds for patients without cardiac dysfunction (difference of means 3.84; 95%CI:1.63 to 6.05). Mean global TTP was 25.27 seconds for patients with cardiac dysfunction and 21.26 for patients without cardiac dysfunction (4.01; 95%CI:1.95 to 6.07) (Table 2).
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