A Review of Neurogenic Stunned Myocardium.

Authors

Sylvia Biso, Einstein Medical CenterFollow
Supakanya Wongrakpanich, Einstein Medical CenterFollow
Akanksha Agrawal, Einstein Medical Center
Sujani Yadlapati, Einstein Medical CenterFollow
Marina Kishlyansky, Einstein Medical Center
Vincent M. Figueredo, Thomas Jefferson University; Einstein Medical CenterFollow

Document Type

Article

Publication Date

8-10-2017

Comments

This article has been peer reviewed. It is the author’s final published version in Cardiovascular Psychiatry and Neurology

Volume 2017, August 2017, Article number 5842182.

The published version is available at DOI: 10.1155/2017/5842182. Copyright © Biso et al.

Abstract

Neurologic stunned myocardium (NSM) is a phenomenon where neurologic events give rise to cardiac abnormalities. Neurologic events like stroke and seizures cause sympathetic storm and autonomic dysregulation that result in myocardial injury. The clinical presentation can involve troponin elevation, left ventricular dysfunction, and ECG changes. These findings are similar to Takotsubo cardiomyopathy and acute coronary syndrome. It is difficult to distinguish NSM from acute coronary syndrome based on clinical presentation alone. Because of this difficulty, a patient with NSM who is at high risk for coronary heart disease may undergo cardiac catheterization to rule out coronary artery disease. The objective of this review of literature is to enhance physician's awareness of NSM and its features to help tailor management according to the patient's clinical profile.

Recommended Citation

Biso, Sylvia; Wongrakpanich, Supakanya; Agrawal, Akanksha; Yadlapati, Sujani; Kishlyansky, Marina; and Figueredo, Vincent M., "A Review of Neurogenic Stunned Myocardium." (2017). Department of Medicine Faculty Papers. Paper 212.
https://jdc.jefferson.edu/medfp/212

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.

PubMed ID

28875040