Neurogenic stunned myocardium is a form of stress cardiomyopathy. The disorder is sometimes referred to as atypical Takotsubo cardiomyopathy. The pathophysiology of neurogenic stunned myocardium is hypothesized to involve significant overdrive of the sympathetic nervous system after a brain injury. Treatment options for a patient with a brain injury who has progressed to cardiogenic shock remain controversial, with no consistent guidelines. A patient with subarachnoid hemorrhage who progresses to cardiogenic shock with concurrent cerebral vasospasm presents a special treatment challenge. Neurogenic stunned myocardium is reversible; however, it must be recognized immediately to avoid or manage potential complications, such as cardiogenic shock and pulmonary edema. A multifaceted treatment approach is needed for the patient with cardiogenic shock and concurrent vasospasm.
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Feature| September 15 2021
Neurogenic Stunned Myocardium: A Review
Amy Stoddard, DNP, ACNPC-AG, APRN, CCRN;
AACN Adv Crit Care (2021) 32 (3): 275–282.
Amy Stoddard, Donna Lynch-Smith; Neurogenic Stunned Myocardium: A Review. AACN Adv Crit Care 15 September 2021; 32 (3): 275–282. doi: https://doi.org/10.4037/aacnacc22021250
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