Cardiac dysfunction in patients with brain hemorrhage

Authors

  • aodai alkurdi tishreen university
  • Abdullah Cheikh Ibrahim Tishreen University
  • Issa Layka Tishreen University

Abstract

Background: the anatomical and physiological link between the nervous system and the cardiovascular system, assumes the influence of the two systems and the interference with normal and pathological functions, as the relationship between the two systems is complex and integrated, and some pathological conditions can interfere with the brain-heart axis leading to disturbance.

Aim & Objective: study the effect of brain hemorrhage on systolic ,diastolic and electrophysiological cardiac function, and to shed light on the pathophysiological mechanisms of the interaction between the brain and the heart.

Material & Methods: A Cohort Prospective study of 53 patients with intracerebral and subarachnoid hemorrhage. Patients were monitored and evaluated clinically on admission and underwent ECG, transthoracic echocardiography and laboratory evaluation of troponin I.

Results: The cardiac changes in patients with cerebral hemorrhage varied according to the site of the hemorrhage and depend on the affected cerebral hemisphere (lateralization). Right insular cortex injury was associated with increased parasympathetic effects, left injury was associated with increased sympathetic effects.

Electrocardiographic abnormality was in 39.6% of patients, the arrhythmia was 30.4%, the most common arrhythmia was atrial fibrillation 13.2%

Troponin elevated in 20.8% of patients, 15.1% of them were associated with a disorder of systolic function and 52.8% with a disorder of diastolic function.

Conclusion: These results related to the disturbance of each of the systolic, diastolic and electrophysiological functions of the heart showed the effect of brain hemorrhage on the brain-heart axis.

Downloads

Published

2023-05-18

How to Cite

1.
الكردي ع, عبدالله شيخ ابراهيم, عيسى لايقة. Cardiac dysfunction in patients with brain hemorrhage. Tuj-hlth [Internet]. 2023May18 [cited 2024Apr.25];45(2):275-91. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/14318

Issue

Vol. 45 No. 2 (2023): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.