| Importance of detection of segmental wall motion abnormalities of left ventricle in nontraumatic subarachnoid hemorrhage: a prospective study. | |
| | |
MedLine Citation:
|
PMID: 20412276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECT: To find out the incidence and importance of segmental wall motion abnormalities (SWMAs) of the left ventricle in noncoronary artery disease (CAD) and nontraumatic subarachnoid hemorrhage (SAH) patients. METHODS: Nontraumatic SAH patients were evaluated with two-dimensional echocardiogram in addition to detailed clinical and investigative data. In echocardiogram, LV was evaluated as a 16-segment approach and its function was noted. Cerebral angiogram was performed in all the patients. Repeat echocardiograms were performed on day 10 and 6 weeks later. RESULTS: In 56 nontraumatic SAH patients, the average age was 45.8 + or - 9.1 years. Among them 16 were females. Clinical grade was 3-5 in 26 (46.43%) patients and 24 (42.86%) patients had aneurysms. Echocardiogram was normal in 33 patients and in 23 (41.07%) patients there were left ventricular (LV) abnormalities. LV SWMA was present in 15 patients (65.22%) and global hypokinesia in 8 patients (34.78 %). In the SWMA group, preservation of apical function relative to the base was observed in 13 patients. The repeat echocardiogram on day 10 in SWMA group showed normalization of LV abnormalities in 14 patients and one patient died due to rebleed. In global hypokinesia group, four patients recovered and four died. Significant associations were observed between SWMA and presence of aneurysm (P < 0.05) and LV function (P < 0.001), mortality correlated with LV function (P < 0.001) and clinical grade (P < 0.02). CONCLUSION: Transient SWMA can occur due to aneurysmal SAH itself and when associated with LV dysfunction, it had a higher mortality. (Echocardiography 2010;27:496-500). |
| | |
Authors:
|
Maddury Jyotsna; Vannemreddy Prasad; Garre Indrani; Bhavesh Vasant Trikamji |
Related Documents
:
|
3272246 - Late results of total correction of tetralogy of fallot in adults. 20691316 - Outcome in stable patients with acute pulmonary embolism who had right ventricular enla... 20617086 - What determines the laterality of the chronic subdural hematoma? 18360066 - Prognostic implications of left ventricular wall motion abnormalities associated with s... 17124816 - Determining venous incompetence: a report from a specialised leg ulcer clinic. 18028586 - Physician compliance with guidelines for deep-vein thrombosis prevention in total hip a... |
Publication Detail:
|
Type: Journal Article Date: 2010-04-16 |
Journal Detail:
|
Title: Echocardiography (Mount Kisco, N.Y.) Volume: 27 ISSN: 1540-8175 ISO Abbreviation: Echocardiography Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-07-08 Completed Date: 2010-10-29 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8511187 Medline TA: Echocardiography Country: United States |
Other Details:
|
Languages: eng Pagination: 496-500 Citation Subset: IM |
Affiliation:
|
Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India. mail2jyotsna@rediffmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Cerebral Angiography Echocardiography / methods* Electrocardiography Female Humans Incidence Male Middle Aged Regression Analysis Risk Factors Subarachnoid Hemorrhage / complications*, physiopathology, radiography Tomography, X-Ray Computed Ventricular Dysfunction, Left / etiology*, mortality, physiopathology, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Left Ventricular Diastolic Function and Exercise Capacity in Patients with Chagas Cardiomyopathy.
Next Document: Fishing out marine parasites? Impacts of fishing on rates of parasitism in the ocean.