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Function of the cardiovascular system and treatment outcomes in arterial brain aneurysms in the hemorrhagic period

Lebedev, V.V.; Golikov, A.P.; Tsarenko, S.V.

Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko 3: 3-8

1989

ISSN/ISBN: 0042-8817
PMID: 2800829
Document Number: 335472
Study of the ECG and central hemodynamics and the results of mathematical analysis of the heart rhythm in patients with rupture of arterial aneurysms in the pre- and postoperative period showed that the values of cardiovascular activity are prognostic signs of the outcome of surgical and nonoperative treatment. Postponement of operation on patients with arterial hypertension for 1-3 days from the onset of the disease may be fatal. Correction of increased systolic pressure and high cardiac output after the operation is inadmissible because they are favourable responses of the organism to the operative trauma. Moderate activation of the sympathetic and parasympathetic nervous system on the eve of the operation has a favourable effect on its outcome.

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