Prolonged Cardiac Dysfunction After Intraparenchymal Hemorrhage and Neurogenic Stunned Myocardium

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The stunned myocardium: prolonged, postischemic ventricular dysfunction.

Myocardial ischemia has, for many decades, been viewed as an all-or-none process that causes myocardial necrosis when prolonged and severe, but whose effects are transient when it is brief or mild. In view of the evidence that the ischemic process may "hit, run and stun," perhaps our thinking about the consequences of myocardial ischemia should be expanded. According to this formulation, an isc...

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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...

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Acute Subarachnoid Hemorrhage and Cardiac Abnormalities: Takotsubo Cardiomyopathy or Neurogenic Stunned Myocardium? a case report

INTRODUCTION Cardiac abnormalities can be seen with subarachnoid hemorrhage. To date, there have been isolated case reports of transient left ventricular apical ballooning cardiomyopathy, also known as Takotsubo cardiomyopathy in patients suffering from subarachnoid hemorrhage. CASE PRESENTATION An adult female was brought to the emergency department with somnolence. A 3 x 3 mm ruptured basil...

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Neurogenic 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...

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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...

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ژورنال

عنوان ژورنال: A & A Case Reports

سال: 2016

ISSN: 2325-7237

DOI: 10.1213/xaa.0000000000000207