Guillain-Barré Syndrome Induced Dysautonomia Resulting in Cardiac Arrest

Fryman, Emily B; Saleem, Sameer; Singh, Aniruddha Pratap

doi:10.7759/cureus.12149

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…Clinical presentation, course, response to treatment, and outcome are similar in SARS-CoV-2-associated AIDP and None associated AIDP. (15) AIDP induced dysautonomia includes blood pressure fluctuations, diaphoresis, dysregulation, and life-threatening cardiac arrhythmias from bradycardia to asystole occur in 7-34% (16). We found that in infected patients it occurs in 37.5% of the cases, which is a bit higher .it suggests that COVID-19 infected patients have a higher risk of cardiac dysregulation.…”

Section: Discussionmentioning

confidence: 67%

Aidp Before and After Covid-19 in Algeria: Short Cohort Study

T. Ait Mouheb,

L. Ait Mokhtar,

Z. Amine

2023

EPRA

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Acute inflammatory demyelinating polyradiculoneuropathy is an immune-mediated polyneuropathy (AIDP) that manifests in the form of an acute, ascending, areflexic, progressive and symmetrical paralysis. The primary infection usually from the respiratory or gastrointestinal tract and can be bacterial or viral, and during the pandemic SARS -COV2 and COVID-19 vaccine may also lead to it Life-threatening complications can occur as a result of Acute inflammatory demyelinating polyradiculoneuropathy Syndrome, such as: Severe Autonomic Cardiovascular Dysfunction and respiratory distress. We will report cases who were admitted to the ICU at Lamine Debaghine hospital between 2018 and 2023 presenting major complications and their evolution under ICU ward assistance. CATEGORY: Resuscitation and Anesthesia, Emergency Medicine KEYWORDS: Acute inflammatory demyelinating polyradiculoneuropathy syndrome, dysautonomia, ICU, AIDP, Guillain-Barre.

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Section: Discussionmentioning

confidence: 67%

Aidp Before and After Covid-19 in Algeria: Short Cohort Study

T. Ait Mouheb,

L. Ait Mokhtar,

Z. Amine

2023

EPRA

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“…GBS is an acute inflammatory disease that has an effect on the peripheral nervous system. It is considered the most common cause of acute flaccid paralysis in young adults and the elderly and an important cause of admission to intensive care 3 . Manifestations of the GBS vary from monoparesis to life-threatening paralysis of the respiratory muscles.…”

Section: Discussionmentioning

confidence: 99%

Acute neurogenic stunned myocardium in a patient with Guillain–Barré syndrome: case report

Bahouh

Haddad

Elmouhib

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: Autonomic dysfunction is a prevalent symptom of Guillain–Barré syndrome (GBS); cardiovascular involvement in this scenario has been mentioned infrequently in the literature. Case Presentation: A 65-year-old man with GBS presented with reversible left ventricular systolic failure. On first presentation, our patient had no history or indications of heart malfunction. During the clinical manifestation of his autonomic dysfunction, he had electrocardiographic alterations, modestly increased cardiac enzymes, significant left ventricular systolic dysfunction, and segmental wall motion irregularity. Once the initial episode was over, these anomalies and his symptoms resolved quickly. Discussion: We believe the reversible left ventricular dysfunction was caused by the toxic impact of elevated catecholamines as well as transiently injured sympathetic nerve endings in the myocardium, which was apparently caused by GBS. We recommend that echocardiography be performed in patients who exhibit clinical signs of autonomic dysfunction, particularly if they are associated with abnormal electrocardiographic findings, cardiac enzyme elevation, or hemodynamic instability, so that appropriate medical therapy can be instituted as soon as possible. Conclusion: GBS is a not a very rare situation in our context. Thus, doctors are supposed to know the life-threatening complications such as neurogenic stunned myocardium and be prepared to dodge it.

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“…Takotsubo cardiomyopathy (TCM) is a life-threatening manifestation of dysautonomia in patients with GBS, which is not widely underlined in the literature. The association between GBS and TCM has been welldocumented in previous studies; however, there are few reported cases of patients with GBS who developed TCM following their diagnosis of GBS [3][4][5][6][7]. In this case report, we will discuss our experience treating a 59year-old female patient who became hemodynamically unstable while recovering from an acute GBS infection.…”

Section: Introductionmentioning

confidence: 89%

Takotsubo Cardiomyopathy: A Possible Rare Complication of Guillain-Barré Syndrome

Mohamed¹,

Oshikoya²,

Kumar³

et al. 2023

Cureus

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Dysautonomia is a common and severe complication of Guillain-Barré syndrome (GBS), which may manifest as cardiac arrhythmias, labile blood pressure, diaphoresis, and changes in gastrointestinal motility. Takotsubo cardiomyopathy (TCM) is a life-threatening manifestation of dysautonomia in patients with GBS, which is not widely underlined in the literature. The association between GBS and TCM has been welldocumented in previous studies; however, there are few reported cases with GBS who developed TCM following their diagnosis with GBS. In this case report, we will discuss our experience treating a 59-year-old female patient who became hemodynamically unstable while recovering from an acute GBS infection. She was diagnosed with TCM after undergoing an echocardiogram and coronary angiogram ruling out thrombotic or obstructive coronary disease and myocarditis.

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Guillain-Barré Syndrome Induced Dysautonomia Resulting in Cardiac Arrest

Cited by 5 publications

References 5 publications

Aidp Before and After Covid-19 in Algeria: Short Cohort Study

Aidp Before and After Covid-19 in Algeria: Short Cohort Study

Acute neurogenic stunned myocardium in a patient with Guillain–Barré syndrome: case report

Takotsubo Cardiomyopathy: A Possible Rare Complication of Guillain-Barré Syndrome

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