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Autonomic Changes in Acute Cerebrovascular Disorders

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Stroke

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 27))

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Abstract

Many cerebrovascular disorders are associated with autonomic dysfunction, particularly subarachnoid hemorrhage (SAH), intracerebral hemorrhage (ICH) and ischemic stroke. The common basis for these problems is maximal activation of the sympathetic pathway, with parasympathetic coactivation. A major main clinical symptom is electrocardiograph (ECG) change that may include a long QT interval, torsades des points, ventricular arrhythmias (Fig. 1), and cerebral T waves. Cardiovascular changes include hypertension, tachycardia, or bradycardia. Neurogenic pulmonary edema may also occur, as well as metabolic changes in catabolism or sodiumpotassium function, and stress reactions such as agitation or anxiety which contribute to the risk of secondary rebleeding.

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© 1998 Springer-Verlag Berlin Heidelberg

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Borel, C., Hamann, G. (1998). Autonomic Changes in Acute Cerebrovascular Disorders. In: Steiner, T., Hacke, W., Hanley, D.F. (eds) Stroke. Update in Intensive Care and Emergency Medicine, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60264-1_4

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  • DOI: https://doi.org/10.1007/978-3-642-60264-1_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64326-2

  • Online ISBN: 978-3-642-60264-1

  • eBook Packages: Springer Book Archive

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