Reversible cardiogenic shock complicating subarachnoid haemorrhage

When rupture of a cerebral aneurysm results in cardiovascular collapse the prognosis may seem hopeless and active management may be withheld. We report five cases of aneurysmal subarachnoid haemorrhage associated with severe myocardial dysfunction and cardiogenic shock. Intensive treatment, including intravenous inotropes and intra-aortic balloon counterpulsation, resulted in good neurological and cardiovascular recovery.