Table of Contents
Cardiovascular Psychiatry and Neurology
Volume 2017 (2017), Article ID 5842182, 6 pages
https://doi.org/10.1155/2017/5842182
Review Article

A Review of Neurogenic Stunned Myocardium

1Department of Internal Medicine, Einstein Medical Center, Philadelphia, PA, USA
2Einstein Institute for Heart and Vascular Health, Einstein Medical Center, Philadelphia, PA, USA
3Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA

Correspondence should be addressed to Sylvia Biso

Received 29 April 2017; Accepted 2 July 2017; Published 10 August 2017

Academic Editor: Eugene Nalivaiko

Copyright © 2017 Sylvia Biso et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 cardiomyopathy and acute coronary syndrome. It is difficult to distinguish NSM from acute coronary syndrome based on clinical presentation alone. Because of this difficulty, a patient with NSM who is at high risk for coronary heart disease may undergo cardiac catheterization to rule out coronary artery disease. The objective of this review of literature is to enhance physician’s awareness of NSM and its features to help tailor management according to the patient’s clinical profile.