SUBARACHNOID HEMORRHAGE - ATYPICAL PRESENTATION ASSOCIATED WITH RAPIDLY CHANGING CARDIAC-ARRHYTHMIAS

被引:9
作者
ASPLIN, BR [1 ]
WHITE, RD [1 ]
机构
[1] MAYO CLIN & MAYO FDN,DEPT ANESTHESIOL,200 1ST ST SW,ROCHESTER,MN 55905
关键词
BRADYCARDIA; PLEOMORPHIC VENTRICULAR TACHYCARDIA; SUBARACHNOID HEMORRHAGE;
D O I
10.1016/0735-6757(94)90163-5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Subarachnoid hemorrhage (SAH) typically presents with sudden onset of severe headache and is often associated with cardiac arrhythmias. The case of a patient with SAH in whom typical presenting signs and symptoms were absent is presented. This case was characterized by rapidly changing arrhythmias observed in the prehospital setting. The diversity and rapid evolution of arrhythmias can be attributed to the autonomic and electrolyte imbalances that often accompany SAH. © 1994.
引用
收藏
页码:370 / 373
页数:4
相关论文
共 24 条
  • [1] Marion, Segal, Thompson, Subarachnoid hemorrhage and the heart, Neurosurgery, 18, pp. 101-106, (1986)
  • [2] Oppenheimer, Cechetto, Hachinski, Cerebrogenic cardiac arrhythmias: Cerebral electrocardiographic influences and their role in suddent death, Arch Neurol, 47, pp. 513-519, (1990)
  • [3] Talman, Cardiovascular regulation and lesions of the central nervous system, Ann Neurol, 18, pp. 1-12, (1985)
  • [4] Andreoli, di Pasquale, Pinelli, Et al., Subarachnoid hemorrhage: Frequency and severity of cardiac arrhythmias, Stroke, 18, pp. 558-564, (1987)
  • [5] Stober, Anstatt, Sen, Et al., Cardiac arrhythmias in subarachnoid haemorrhage, Acta Neurochir (Wien), 93, pp. 37-44, (1988)
  • [6] Brouwers, Wijdicks, Hasan, Et al., Serial electrocardiographic recording in aneurysmal subarachnoid hemorrhage, Stroke, 20, pp. 1162-1167, (1989)
  • [7] di Pasquale, Pinelli, Andreoli, Et al., Holter detection of cardiac arrhythmias in intracranial subarachnoid hemorrhage, Am J Cardiol, 59, pp. 596-600, (1987)
  • [8] Jackman, Clark, Friday, Et al., Ventricular tachyarrhythmias in the long QT syndromes, Med Clin North Am, 68, pp. 1079-1109, (1984)
  • [9] Smith, Gallagher, “Les Torsades de Pointes”: An unusual ventricular arrhythmia, Ann Intern Med, 93, pp. 578-584, (1980)
  • [10] Horowitz, Greenspan, Spielman, Et al., Torsades de Pointes: Electrophysiologic studies in patients without transient pharmacologic or metabolic abnormalities, Circulation, 63, pp. 1120-1128, (1981)