| Delayed cardiogenic shock and acute lung injury after aneurysmal subarachnoid hemorrhage. | |
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MedLine Citation:
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PMID: 15781536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Both cardiac and lung injury after aneurysmal subarachnoid hemorrhage has been attributed to an adrenergic surge. Cardiogenic shock is very uncommon. We describe a 55-yr-old woman with a delayed cardiogenic shock emerging within hours after aneurysmal rupture. Cardiac damage was documented by increased serum troponin T, CPK-mb fraction, and severe wall motion abnormality, which included an akinetic apex on echocardiography (ejection fraction of 33%). Her coronary angiogram was normal. Decreased cardiac index, increased systemic and pulmonary vascular resistance indices, and persistent oxygen desaturation despite improving ventricular contractility documented both cardiac and pulmonary injury. After treatment with dobutamine and milrinone all manifestations resolved. |
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Authors:
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Ives de Chazal; William M Parham; Panayota Liopyris; Eelco F M Wijdicks |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 100 ISSN: 0003-2999 ISO Abbreviation: Anesth. Analg. Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-03-22 Completed Date: 2005-04-12 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1147-9 Citation Subset: AIM; IM |
Affiliation:
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Division of Critical Care, Mayo Medical Center, Saint Marys Hospital, Rochester, Minnesota, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cardiotonic Agents / therapeutic use Female Hemodynamics / physiology Humans Lung / radiography Lung Diseases / drug therapy, etiology*, physiopathology Neurosurgical Procedures Shock, Cardiogenic / drug therapy, etiology*, physiopathology Subarachnoid Hemorrhage / complications* |
| Chemical | |
Reg. No./Substance:
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0/Cardiotonic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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