Brain–heart crosstalk: the many faces of stress-related cardiomyopathy syndromes in anaesthesia and intensive care
Neurogenic stress cardiomyopathy (NSC) is a well-known syndrome complicating the early phase after an acute brain injury, potentially affecting outcomes. This article is a review of recent data on the putative role of localization and lateralization of brain lesions in NSC, cardiac innervation abnor...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 2014-05, Vol.112 (5), p.803-815 |
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| container_title | British journal of anaesthesia : BJA |
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| creator | Mazzeo, A.T. Micalizzi, A. Mascia, L. Scicolone, A. Siracusano, L. |
| description | Neurogenic stress cardiomyopathy (NSC) is a well-known syndrome complicating the early phase after an acute brain injury, potentially affecting outcomes. This article is a review of recent data on the putative role of localization and lateralization of brain lesions in NSC, cardiac innervation abnormalities, and new polymorphisms and other genetic causes of the sympathetic nervous system over-activity. Concerns regarding the management of stress-related cardiomyopathy syndromes during the perioperative period are also discussed. Future clinical research should explore whether specific factors explain different patient susceptibilities to the disease and should be directed towards early identification and stratification of patients at risk, so that such patients can be more carefully monitored and appropriately managed in critical care and during the perioperative period. |
| doi_str_mv | 10.1093/bja/aeu046 |
| format | Article |
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| ispartof | British journal of anaesthesia : BJA, 2014-05, Vol.112 (5), p.803-815 |
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| subjects | Anesthesiology - methods Brain - physiopathology brain injuries Brain Injuries - complications Brain Injuries - physiopathology Critical Care - methods Heart - physiopathology Humans Monitoring, Physiologic - methods Perioperative Care - methods receptor cross-talk stress cardiomyopathy subarachnoid haemorrhage sympathetic nervous system Syndrome Takotsubo Cardiomyopathy - complications Takotsubo Cardiomyopathy - physiopathology |
| title | Brain–heart crosstalk: the many faces of stress-related cardiomyopathy syndromes in anaesthesia and intensive care |
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