Takotsubo Cardiomyopathy in Patients Suffering From Acute Non-traumatic Subarachnoid Hemorrhage
NCT02659878 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 137
Last updated 2022-06-28
Summary
Pupose:
Takotsubo cardiomyopathy is a rare and not well-known complication of the subarachnoid hemorrhage.
This form of heart failure, called as "broke heart" or "apical ballooning syndrome", was first described by Japanese authors at the beginning of 1990's.
1.5-2.2% of acute coronary syndrome is Takotsubo cardiomyopathy. Its predisposing factors, hypothetical parthenogenesis, diagnostic criteria and therapeutic methods are already known from the literature.
The study intends to include all patients over 18 years of age who were admitted to our clinic within 48 hours after the bleeding regardless of gender, neurological status or age.
Data to be registered within 24 hours after admittance:
Instruments:
* Intracranial blood flow characteristics:TCCD - using Transcranial Color Doppler; systolic, diastolic and mean blood flow velocity, Systolic / Diastolic ratio, pulsatility index
* ECG abnormalities: Corrected QT Interval (QTc), T wave, ST segment, arrhythmia
* Echocardiography (Ejection fraction%, exact location and degree of cardiac wall motion abnormalities) - documented with video recording
Hypothesis:
The risk of Takotsubo cardiomyopathy (TS) is increased if SAH is associated with more severe state, a greater degree of bleeding, intraventricular and/ or intracerebral hemorrhage.
The definitive care of patients is postponed due to the appearance of TS, which could affect the final outcome.
Conditions
- Takotsubo Cardiomyopathy
- Subarachnoid Hemorrhage
Interventions
- PROCEDURE
-
bleeding, intraventricular and/ or intracerebral hemorrhage.
Patient's age, sex, comorbidities, medications, the exact time point of bleeding, the circumstances of bleeding neurological and cardiological status are recorded, laboratory tests, Transcranial Color Doppler (TCCD), echocardiography and chest X-ray examinations are carried out within 24 hours after the patient is being admitted to the ICU.
Sponsors & Collaborators
-
University of Debrecen
lead OTHER
Principal Investigators
-
Csilla Molnár, MD,PhD · UNIVERSITY OF DEBRECEN FACULTY OF MEDICINE Department of Anesthesiology and Intensive Care Debrecen, Hungary, 4032
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-02-28
- Primary Completion
- 2018-06-30
- Completion
- 2018-12-31
Countries
- Hungary
Study Locations
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