Di Pasquale G, Andreoli A, Lusa A M, Urbinati S, Biancoli S, Cerè E, Borgatti M L, Pinelli G
Division of Cardiology, Bentivoglio Hospital, Bologna, Italy.
J Neurosurg Sci. 1998 Mar;42(1 Suppl 1):33-6.
Cardiac complications are frequent in patients with subarachnoid hemorrhage (SAH). They include ECG abnormalities, cardiac arrhythmias, myocardial damage, and neurogenic pulmonary edema. The pathophysiology of these abnormalities is related to an imbalance of the autonomic cardiovascular control and to increased circulating and local myocardial tissue catecholamines. Cardiac involvement is more common in patients with severe neurological deficits and it may increase the morbidity associated with SAH because of the occurrence of life-threatening arrhythmias or pulmonary edema. Monitoring of cardiac events in patients with SAH might result in a better understanding of their clinical outcome, as well as providing a basis for specific treatment capable of preventing myocardial necrosis and cardiac arrhythmias.
心脏并发症在蛛网膜下腔出血（SAH）患者中很常见。这些并发症包括心电图异常、心律失常、心肌损伤和神经源性肺水肿。这些异常的病理生理学与自主心血管控制失衡以及循环和局部心肌组织儿茶酚胺增加有关。心脏受累在严重神经功能缺损患者中更为常见，并且由于危及生命的心律失常或肺水肿的发生，可能会增加SAH相关的发病率。对SAH患者的心脏事件进行监测可能会更好地了解其临床结局，并为能够预防心肌坏死和心律失常的特异性治疗提供依据。
