![]() That said, case-fatality rates appear to be falling, and increasing data suggest that early aneurysm repair, together with aggressive management of complications such as hydrocephalus and delayed cerebral ischemia (DCI), is leading to improved functional outcomes. Although the incidence of aSAH varies widely among populations, perhaps because of genetic differences, competing burden of disease, and issues of case ascertainment, at the very least, a quarter of patients with aSAH die, and roughly half of survivors are left with some persistent neurological deficit. ![]() In cases in which new data covered in this review have resulted in a change in a prior recommendation, this is explicitly noted.ĪSAH is a significant cause of morbidity and mortality throughout the world. ![]() 2 The present guidelines primarily cover literature published between November 1, 2006, and May 1, 2010, but the writing group has strived to place these data in the greater context of the prior publications and recommendations. guidelines covered literature through November 1, 2006. The prior aneurysmal subarachnoid hemorrhage (aSAH) guidelines, sponsored by the AHA Stroke Council, were previously issued in 1994. To respond to the growing call for more evidenced-based medicine, the American Heart Association (AHA) commissions guidelines on various clinical topics and endeavors to keep them as current as possible. Customer Service and Ordering Information.Stroke: Vascular and Interventional Neurology. ![]() Journal of the American Heart Association (JAHA).Circ: Cardiovascular Quality & Outcomes.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB). ![]()
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