Acute Brain Diseases as Triggers for Stress Cardiomyopathy: Clinical Characteristics and Outcomes

Abstract

NSC is most common after SAH, but can result from a wide spectrum of acute brain insults. Requirement of inotropic support was the strongest indicator of prognosis at last follow-up. Patients with NSC often have poor function at discharge but many improve over time.

Acute Cerebral Disease Triggering Takotsubo

“…We do not agree with the statement that little is known about cerebral diseases other than subarachnoid bleeding, which may trigger TTS [1]. There has been an extensive review of the literature about the central nervous system (CNS) diseases triggering TTS [2].…”

“…I n a recent article, Nasr et al reported about the clinical characteristics and outcome of 34 patients with Takotsubo syndrome (TTS) triggered by cerebral disease and collected during five years from a neurological intensive care unit (NICU) [1]. We have the following comments and concerns.…”

“…Three patients died during hospitalisation [1]. Did they die due to complications of the TTS, or due to complications from the neurological disorder, or due to other causes?…”

The Role of Periostin in Brain Injury Caused by Subarachnoid Hemorrhage

“…Severe aSAH is well-known for causing systemic inflammatory response syndrome and extracerebral multiple organ dysfunction including respiratory, renal, hepatic, cardiovascular, and hematologic organ dysfunctions occurring due to sympathetic storm and catecholamine surge [67][68][69]. aSAH has also been reported to be probably associated with intracranial as well as systemic infections [69].…”

Stunned hearts after autonomic storm in brain‐dead donors and the golden timing for retrieval

“…Neurogenic heart disease is often reversible, as shown in previous papers. 4,5 In the severely brain-injured patient deteriorating to brain death, the cardiac dysfunction may occur as a consequence of two possible events, both with similar pathways: the first one depends on initial brain injury; the second event may follow the final brain coning leading to brain death.…”