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The use of heart rate variability for the early detection of treatable complications after aneurysmal subarachnoid hemorrhage
Authors:Soojin Park  Farhad Kaffashi  Kenneth A Loparo  Frank J Jacono
Institution:1. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
2. Department of Engineering and Computer Science, Case Western Reserve University, Cleveland, OH, USA
3. Division of Pulmonary, Critical Care and Sleep Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA
Abstract:High-grade aneurysmal subarachnoid hemorrhage patients are monitored in the ICU for up to 21 days, as they are at risk for complications such as vasospasm of cerebral arteries, cardiac arrhythmias and neurogenic stress cardiomyopathy. The diagnosis of these treatable complications is often delayed by the limitations of monitoring capabilities. We applied computational analysis to a cohort of 24 aneurysmal subarachnoid hemorrhage patients, to identify heart rate variability and ECG frequency profiles that may be potential biomarkers of severe vasospasm, reversible cardiomyopathy and death.
Keywords:
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