Cardiac Dysfunction After Neurologic Injury: What Do We Know and Where Are We Going?
Recent literature has implicated severe neurologic injuries, such as aneurysmal subarachnoid hemorrhage, as a cause of cardiac dysfunction, impaired hemodynamic function, and poor outcomes. Mechanistic links between the brain and the heart have been explored in detail over the past several decades, and catecholamine excess, neuroendocrine dysfunction, and unchecked inflammation all likely contribute to the pathophysiologic process. Although cardiac dysfunction has also been described in other disease paradigms, including septic shock and thermal injury, there is likely a common underlying pathophysiology. In this review, we will examine the pathophysiology of cardiac dysfunction after neurologic injury, discuss the evidence surrounding cardiac dysfunction after different neurologic injuries, and suggest future research goals to gain knowledge and improve outcomes in this patient population.
Duke Scholars
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Related Subject Headings
- Takotsubo Cardiomyopathy
- Subarachnoid Hemorrhage
- Stroke
- Respiratory System
- Nervous System Diseases
- Myocardial Stunning
- Humans
- Heart Diseases
- Epilepsy
- Central Nervous System Infections
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Takotsubo Cardiomyopathy
- Subarachnoid Hemorrhage
- Stroke
- Respiratory System
- Nervous System Diseases
- Myocardial Stunning
- Humans
- Heart Diseases
- Epilepsy
- Central Nervous System Infections