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Myocardial damage from acute cerebral lesions.
Open accessAbstract
Autopsy findings in 58 patients with intracranial lesions were compared with those in 50 control patients for myocardial damage, characterised by a change from a myofibrillar to a granular staining pattern, using a histochemical method for succinic dehydrogenase. Transmurally scattered foci of damaged myocardial fibres were significantly more common (p less than 0.01) in patients with intracranial lesions (62%) compared to controls (26%). No victims of sudden violent deaths showed these cardiac lesions. Focal myocardial damage required at least six hours to develop after onset of the acute neurological event and was not observed after the second week. It was associated with lesions producing a rapid increase in intracranial pressure and was usually absent in patients with slowly enlarging or small cerebral lesions. Similar myocardial changes were seen in patients in the control group dying from prolonged shock or other forms of acute circulatory or metabolic failure. The postulated mechanism of cardiac damage in these patients is increased levels of plasma catecholamines secondary to rapidly increasing intracranial pressure, irrespective of the cerebral pathology.
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Cited by
Adams, H. P., Adams, R. J., Brott, T., del Zoppo, G. J., Furlan, A., Goldstein, L. B., Grubb, R. L., Higashida, R., Kidwell, C., Kwiatkowski, T. G., et al. (2003) · Stroke · doi:10.1161/01.str.0000064841.47697.22 · Cited by 1,245
Adams, H. P., del Zoppo, G., Alberts, M. J., Bhatt, D. L., Brass, L., Furlan, A., Grubb, R. L., Higashida, R. T., Jauch, E. C., Kidwell, C., et al. (2007) · Circulation · doi:10.1161/circulationaha.107.181486 · Cited by 904
Oppenheimer, S. M. (1990) · Archives of Neurology · doi:10.1001/archneur.1990.00530050029008 · Cited by 314
Myocardial Injury and Left Ventricular Performance After Subarachnoid Hemorrhage
Mayer, S. A., Lin, J., Homma, S., Solomon, R. A., Lennihan, L., Sherman, D., Fink, M. E., Beckford, A., & Klebanoff, L. M. (1999) · Stroke · doi:10.1161/01.str.30.4.780 · Cited by 297
Venkat, P., Chen, J., & Chopp, M. (2018) · Journal of Cerebral Blood Flow & Metabolism · doi:10.1177/0271678x18782789 · Cited by 65
Metadata
- Authors
- Kolin, A., & Norris, J. W.
- Venue
- Stroke
- Published
- 1984-11
- Volume
- 15
- Issue
- 6
- Pages
- 990-993
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W1982954461
- Cited by
- 209
- References
- 0
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- bronze
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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