Neurogenic Stunned Myocardium in Two Children with Neurological Injury
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چکیده
منابع مشابه
Neurogenic Stunned Myocardium
A74-year-old woman was admitted for evaluation of chest pain. She had fallen and hit her head 4 days before her admission and had lost consciousness. Her chest pain had begun immediately after this event. An ECG on admission revealed abnormal Q waves and ST-segment elevation (Figure 1A). Her plasma creatine phosphokinase level was significantly elevated (386 IU/L), with an increase in MB isozym...
متن کاملNeurogenic stunned myocardium with ventriculoperitoneal shunt malfunction.
The syndrome of left ventricular dysfunction in patients without obstructive coronary artery disease following central nervous system injury is termed neurogenic stunned myocardium (NSM). It has been described most commonly in association with aneurysmal subarachnoid hemorrhage. Nonspecific electrocardiogram (ECG) abnormalities, elevated troponin I levels, and reversible regional-wall motion ab...
متن کاملNeurogenic stunned myocardium following hemorrhagic cerebral contusion.
Neurogenic stunned myocardium (NSM) is a well-known complication of subarachnoidal hemorrhage, but has been reported rarely in association with other central nervous system disorders. A case of NSM is described in a patient with hemorrhagic brain contusion associated with cerebral edema. An 18-year-old man was admitted with severe cranial trauma following a car roll-over. Six days after admissi...
متن کاملA Review of Neurogenic Stunned Myocardium
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 cardiomyopa...
متن کاملBroken heart syndrome, neurogenic stunned myocardium and stroke.
OPINION STATEMENT The diagnosis of stress cardiomyopathy is often made during coronary angiography. At this point hemodynamic parameters should be assessed; a right heart catheterization with measurement of cardiac output by Fick and thermodilution methods is helpful. Patients with acute neurologic pathology who develop left ventricular dysfunction (neurogenic stunned myocardium) may not be can...
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ژورنال
عنوان ژورنال: Journal of Pediatric Intensive Care
سال: 2019
ISSN: 2146-4618,2146-4626
DOI: 10.1055/s-0039-1693032