Biography
Biography: S Manimala Rao
Abstract
Cardiac disturbances are quite frequent in a stroke patient be it arrhythmia or LV dysfunction. It is becoming quite common to observe the heart and brain interaction in the ICU. Critical care at its core takes into consideration the human body in its entirety. Hence the clinical management of the brain and heart disorders cannot be isolated. The care of neurologic patient is influenced by cardiac diseases, and likewise neurological consideration is essential in many types of heart diseases. Cardiologists and Neurologists cannot view heart and brain alone respectively and ignore the other. There is a lot of literature with evidence regarding the importance of brain – heart interactions. These relationships in terms of physiological, clinical and management issues on a daily basis are utmost in critical care. Can we consider and coin Neurocardiology in critical care. What are the interactions between the brain and the heart and what is the pathophysiology and how does it influence the management and outcome. In the setting of Critical care, time & proper decision making is a crucial factor. How hemodynamic & intracranial dynamic monitoring helps to determine the immediate and long term management of the patient and how it influences the outcome will be discussed.