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Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
10:34

Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage

Published on: August 30, 2020

Acute cardiac injury after subarachnoid haemorrhage: two case reports

Marcello Marcì1, Paolino Savatteri, Antonino Pizzuto

  • 1Cardiology Department, Azienda Ospedaliera Villa Sofia, Palermo, Italy.

Cases Journal
|January 12, 2010
PubMed

Insights

Distinguishing acute coronary syndrome from reversible neurogenic myocardial injury after subarachnoid hemorrhage is crucial for patient management and organ transplantation. This case report highlights diagnostic challenges and implications.

Area of Science:

  • Neurology
  • Cardiology
  • Critical Care Medicine

Background:

  • Subarachnoid hemorrhage frequently causes cardiopulmonary complications.
  • Differentiating acute coronary syndrome from neurogenic myocardial injury is vital for treatment.
  • Accurate cardiac assessment is essential for potential organ donors to prevent graft rejection.

Purpose of the Study:

  • To report two cases of cardiac complications following aneurysmal subarachnoid hemorrhage.
  • To emphasize the importance of distinguishing cardiac ischemia from neurogenic myocardial injury in neurosurgical patients.
  • To highlight the implications for organ transplantation protocols.

Main Methods:

  • Case report of two female patients admitted to a neurosurgical intensive care unit.
  • Clinical assessment and diagnostic workup for cardiac complications post-subarachnoid hemorrhage.
  • Review of literature concerning cardiac injury after subarachnoid hemorrhage.

Main Results:

  • Both patients presented with cardiac complications attributed to aneurysmal subarachnoid hemorrhage.
  • The clinical presentation mimicked acute coronary syndrome, posing diagnostic challenges.
  • Neurogenic myocardial injury was suspected as the underlying cause.

Conclusions:

  • Cardiac complications are a significant concern in aneurysmal subarachnoid hemorrhage.
  • Distinguishing neurogenic myocardial injury from ischemic heart disease is critical for appropriate management.
  • Timely and accurate diagnosis impacts patient care and organ donor suitability.

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