Key result
The SCM-basal form in subarachnoid hemorrhage patients was associated with increased odds of cardiac complications (OR 6.1; 99% CI 1.8-20.2) and severe sepsis (OR 5.3; 99% CI 1.6-17.2).
Why the study?
Is the variant SCM-basal form associated with worse outcomes compared to the classic SCM-apical form in patients with subarachnoid hemorrhage?
Population
715 patients hospitalized for subarachnoid hemorrhage (SAH) between 2000 and 2010
Comparison
Variant stress-induced cardiomyopathy basal form vs Classic stress-induced cardiomyopathy apical form
Design
Cohort
Follow-up
Follow-up until 2013 (hospitalized 2000-2010)
Authors
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May flag higher cardiac/sepsis risk in SAH; hypothesis-generating and should not yet change practice.
Cohort (n=715)
No
Is the variant SCM-basal form associated with worse outcomes compared to the classic SCM-apical form in patients with subarachnoid hemorrhage?
Odds Ratio: 6.1 (95% CI 1.8–20.2)
In patients with subarachnoid hemorrhage, the basal form of stress-induced cardiomyopathy is associated with a significantly higher risk of cardiac complications and severe sepsis.
Bihorac et al. (2016) conducted a cohort in Subarachnoid hemorrhage and stress-induced cardiomyopathy (n=715). SCM-basal form vs. Other SAH patients was evaluated on Cardiac complications (OR 6.1, 95% CI 1.8-20.2). The SCM-basal form in subarachnoid hemorrhage patients was associated with increased odds of cardiac complications (OR 6.1; 99% CI 1.8-20.2) and severe sepsis (OR 5.3; 99% CI 1.6-17.2).
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