TY  - BOOK
AU  - Barnett, Christopher F
AU  - Chang, Jason J
AU  - Kenigsberg, Benjamin
AU  - Mai, Jeffrey C
TI  - Neurogenic Stunned Myocardium in Severe Neurological Injury. [Review]
SN  - 1528-4042
PY  - 2019///
KW  - *Donor Selection/mt [Methods]
KW  - *Myocardial Stunning
KW  - Acute Coronary Syndrome/di [Diagnosis]
KW  - Diagnosis, Differential
KW  - Humans
KW  - Myocardial Stunning/di [Diagnosis]
KW  - Myocardial Stunning/ep [Epidemiology]
KW  - Myocardial Stunning/pp [Physiopathology]
KW  - Myocardial Stunning/th [Therapy]
KW  - MedStar Heart & Vascular Institute
KW  - MedStar Washington Hospital Center
KW  - Neurosurgery
KW  - Surgery/Surgical Critical Care
KW  - Journal Article
KW  - Review
N2  - PURPOSE OF REVIEW: Neurogenic stunned myocardium (NSM) is a poorly recognized cardiac manifestation of neurological illness. This review addresses the contemporary understanding of NSM pathophysiology, epidemiology, diagnosis, and clinical management; RECENT FINDINGS: While the precise pathophysiology and diagnosis remain unclear, NSM is phenotypically atypical stress cardiomyopathy that can be partially attributed to excess catecholaminergic toxicity. NSM is a diagnosis of exclusion where electrocardiography, echocardiography, and cardiac biomarkers are frequently abnormal. Clinical expertise is crucial to evaluate and differentiate NSM from acute coronary syndrome and in the evaluation of potential cardiac transplantation donors after unsalvageable severe neurological injury. Neurogenic stunned myocardium is a relatively common and clinically impactful condition. More research is needed, particularly to refine clinical prognostication of NSM and rule out intrinsic cardiac injury in order to optimize donor candidacy in the event of brain death
UR  - https://dx.doi.org/10.1007/s11910-019-0999-7
ER  -