Talk:Subarachnoid hemorrhage

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Why would a subarachnoid hemorrhage lead to myocardial damage and/or rhythm problems? Bart 194.151.165.92 13:24, 12 February 2007 (UTC)

It's likely due to the massive catecholamine response to the aneurysm. Global and regional myocardial dysfunction is common as well as arythmias. Permanant damage is however uncommon. This is probably because most of these patients are young without significant underlying heart disease.

The mortality figures given on this page seem way out of date however i don't have time at the moment to reference accurate ones. The current mortality is about 30%. Mortality by Hunt and Hess class 1 - 0-5% 2 - 2-10% 3 - 8-15% 4 - 60-70% 5 - 70-100%

[edit] van Gijn et al

I'm presently reading the Jan 07 Lancet seminar by Jan van Gijn et al. Hope to update this article soon. JFW | T@lk 19:08, 13 March 2007 (UTC)

[edit] Ref

This was dropped in the article:

  • Watson ID, Beetham R, Keir G, Cruickshank AM, Holbrook IB, Fahie-Wilson MN, White PA, Patel D, Egner W. Cerebrospinal fluid spectrophotometry of bilirubin, not the Xanthochromic Index, for the detection of CT-negative sub-arachnoid haemorrhage. J Clin Neurosci 2006. PMID 16647856.

I can't see which statement it was meant to support, but I will review it in due course. JFW | T@lk 20:06, 13 March 2007 (UTC)

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