Neurogenic Breathing Patterns

E. Wijdicks
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Abstract

Abnormalities of cardiac function and cardiac electrophysiology are not uncommon in patients with acute injury to the central nervous system, and cardiac abnormalities may be the initial signs when these patients are first evaluated. Some patients have findings that suggest an acute coronary syndrome but disappear after the intracranial pressure surge subsides. The clinician must consider underlying neurologic disease when a patient presents with cardiac arrhythmias, new-onset pulmonary edema, hypotension, or cardiogenic shock with characteristics atypical for a primary cardiac event if the patient is in an otherwise unexplained comatose state.
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神经源性呼吸模式
心功能和心脏电生理异常在中枢神经系统急性损伤患者中并不罕见,心脏异常可能是这些患者首次评估时的初始体征。有些病人的发现提示急性冠状动脉综合征,但在颅内压激增消退后消失。当患者出现心律失常、新发肺水肿、低血压或心源性休克时,如果患者处于其他原因不明的昏迷状态,临床医生必须考虑潜在的神经系统疾病。
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