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□ After the initial hemorrhage and early brain injury, mortality and morbidity from subarachnoid hemorrhage (SAH) arise from rebleeding and delayed cerebral ischemia.
Cardiac dysfunction may complicate and limit the active treatment options for delayed cerebral ischemia (DCI) and increased ICP.
Delayed Cerebral Ischemia.
DCI is one of the most severe complications of SAH and is associated with worse out- comes.
Although the exact mechanism of DCI is still unclear, multiple potential causes beyond cerebral vasospasm have been investigated, including microcirculatory dysfunction, microthrombosis, cortical spreading depolarization, and neuroinflammation.175,176 About one-third of patients will develop symptoms from DCI as early as 3 to 5 days after the
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