Pulmonary Edema and Stunned Myocardium in Subarachnoid Hemorrhage
Autor: | Ryan Naum, Patricio S Espinosa, Asia Filatov, Kettia Alusma-Hibbert |
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Rok vydání: | 2020 |
Předmět: |
complicated subarachnoid hemorrhage
medicine.medical_specialty Subarachnoid hemorrhage Pulmonology Nausea Cardiology brain bleed Cardiomyopathy subarachnoid 030204 cardiovascular system & hematology takotsubo 03 medical and health sciences 0302 clinical medicine Internal medicine medicine pulmonary edema cardiovascular diseases Past medical history medicine.diagnostic_test business.industry General Engineering Emergency department medicine.disease Pulmonary edema Neurology Angiography Vomiting hemorrhage medicine.symptom business cardiomyopathy headache stress-related cardiomyopathy intracranial hemorrhage 030217 neurology & neurosurgery |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
Popis: | Aneurysmal subarachnoid hemorrhage is a life-threatening event that can cause permanent disability. This life-threatening event can be further complicated by subsequent cardiac and pulmonary disability. The presence of a neurogenic cardiomyopathy and pulmonary edema increases the morbidity and mortality of patients who suffer from aneurysmal subarachnoid hemorrhage. In this paper, we discuss a 39-year-old woman who presented to the emergency department (ED) with a chief complaint of a pounding headache with associated nausea and vomiting for the past three days. She had a past medical history significant only for migraines. During her stay in the ED, she began to exhibit signs of altered consciousness, hemoptysis, and respiratory compromise. Neuroimaging showed evidence of subarachnoid hemorrhage. The exact source of her subarachnoid hemorrhage could not be located with neuroimaging or angiography. Her clinical course was complicated by pulmonary edema and neurogenic stunned myocardium, and is still ongoing. |
Databáze: | OpenAIRE |
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