Page 90 - Cardiac abnormalities after aneurysmal subarachnoid hemorrhage
P. 90
Chapter 6
Conclusion
Myocardial infiltration by macrophages, lymphocytes and neutrophil granulocytes coinciding with intramyocardial thrombi occurs frequently in patients with SAH. This indicates the presence of a myocarditis. Cardiac involvement after SAH expressed as myocarditis could explain the cardiac abnormalities observed following SAH. As cardiac abnormalities in SAH result in a worse prognosis, in consideration of the potential therapeutic and prognostic implications, further research aimed at recognition and treatment of myocarditis such as anti-inflammatory drugs, antithrombotic therapy or inotropics after SAH is warranted.
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