<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Neurogenic stress cardiomyopathy (NSC) is defined as transient cardiac dysfunction occurring after primary brain injury, such as aneurysmal subarachnoid haemorrhage, and characterised by left ventricular systolic dysfunction with reduced ejection fraction and abnormalities of regional wall motion. It may also be suspected if elevated levels of cardiac biomarkers and ECG abnormalities are present. It is a reversible condition with favourable long-term prognosis if diagnosed and treated timely, however, NSC is associated with higher rates of early mortality and complications, including pulmonary oedema, cardiogenic shock, delayed cerebral ischaemia. Early diagnosis of the NSC is important in order to prevent these complications and reduce mortality. Management of the NSC is complicated and a multidisciplinary approach is usually required.</p></abstract>

Neurogenic stress cardiomyopathy (NSC) is defined as transient cardiac dysfunction occurring after primary brain injury, such as aneurysmal subarachnoid haemorrhage, and characterised by left ventricular systolic dysfunction with reduced ejection fraction and abnormalities of regional wall motion. It may also be suspected if elevated levels of cardiac biomarkers and ECG abnormalities are present. It is a reversible condition with favourable long-term prognosis if diagnosed and treated timely, however, NSC is associated with higher rates of early mortality and complications, including pulmonary oedema, cardiogenic shock, delayed cerebral ischaemia. Early diagnosis of the NSC is important in order to prevent these complications and reduce mortality. Management of the NSC is complicated and a multidisciplinary approach is usually required.

Neurogenic stress cardiomyopathy following aneurysmal subarachnoid haemorrhage: a literature review

Clinic of Cardiovascular diseases, Institute of Clinical Medicine

Clinic of Neurology and Neurosurgery, Institute of Clinical Medicine

Seminars in Cardiovascular Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Neurogenic stress cardiomyopathy (NSC) is defined as transient cardiac dysfunction occurring after primary brain injury, such as aneurysmal subarachnoid...

Neurogenic stress cardiomyopathy following aneurysmal subarachnoid haemorrhage: a literature review

Published Online: Nov 01, 2019

Page range: 44 - 52

Received: Apr 16, 2019

Accepted: Sep 25, 2019

DOI: https://doi.org/10.2478/semcard-2019-0006

Keywords
aneurysmal subarachnoid haemorrhage, neurogenic stress cardiomyopathy, Takotsubo-like cardiomyopathy, neurogenic stunned myocardium

© 2019 Lukas Piliponis et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Neurogenic stress cardiomyopathy following aneurysmal subarachnoid haemorrhage: a literature review

Published Online: Nov 01, 2019

Page range: 44 - 52

Received: Apr 16, 2019

Accepted: Sep 25, 2019

DOI: https://doi.org/10.2478/semcard-2019-0006

Keywordsaneurysmal subarachnoid haemorrhage, neurogenic stress cardiomyopathy, Takotsubo-like cardiomyopathy, neurogenic stunned myocardium

© 2019 Lukas Piliponis et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
aneurysmal subarachnoid haemorrhage, neurogenic stress cardiomyopathy, Takotsubo-like cardiomyopathy, neurogenic stunned myocardium