Key result
Aneurysmal subarachnoid hemorrhage triggers severe, reversible cardiac dysfunction with LVEF dropping to ~25%.
Case Report (n=3)
No
Highlights the clinical presentation and nursing challenges of cardiopulmonary compromise following acute aneurysmal subarachnoid hemorrhage.
Severe but reversible cardiac dysfunction may occur in aneurysmal SAH; case reports leave open questions on prevalence and management.
Patients with acute aneurysmal subarachnoid hemorrhage (SAH) often present with more than just neurological compromise. A wide spectrum of complicating cardiopulmonary abnormalities have been documented in patients with acute SAH, presenting additional challenges to the healthcare providers who attempt to treat and stabilize these patients. The patients described in this article presented with both acute aneurysmal SAH and cardiopulmonary compromise. Education and further research on this connection is needed to provide optimal care and outcomes for this vulnerable population. Nurses play a key role in balancing the critical and diverse needs of patients presenting with these symptoms.
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Hamilton et al. (2008) conducted a case report in Acute aneurysmal subarachnoid hemorrhage with cardiac dysfunction (n=3). Acute aneurysmal subarachnoid hemorrhage was evaluated. Acute aneurysmal subarachnoid hemorrhage was accompanied by severe but reversible cardiac dysfunction, with ejection fractions dropping to 20-30% before recovery in all three presented cases.
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