Cardiovascular Considerations in Cerebrovascular Surgery

  • William H. Frishman
  • Jack M. Fein
  • Marc Kirschner


The heart and the brain enjoy a mutual relationship and interdependency. Alterations of cardiac function may be anticipated in most patients requiring cerebrovascular surgery. Cardiovascular disease is an important risk factor in the management of occlusive cerebrovascular lesions, aneurysms, and hypertensive hemorrhage. This chapter describes the evaluation and management of patients with cardiac disease in anticipation of cerebrovascular surgery. A variety of acute neurologic changes such as those associated with subarachnoid hemorrhage have profound effects on the heart. Physiologic and pathologic neurogenic factors influencing cardiac function are described.


Carotid Endarterectomy Neurogenic Hypertension Bretylium Tosylate Carotid Endar Dorsal Vagal Motor Nucleus 
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© Springer-Verlag New York Inc. 1985

Authors and Affiliations

  • William H. Frishman
  • Jack M. Fein
  • Marc Kirschner

There are no affiliations available

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