Sep 5, 2019

Neurogenic Stunned Myocardium: A Case Report and Brief Review

The Journal of Emergency Medicine
Andrew ZabelScott Young


Neurogenic stunned myocardium (NSM) is a condition in a group of stress cardiomyopathies with evolving nomenclature that includes Takotsubo cardiomyopathy. It manifests through electrocardiogram changes, cardiac enzyme elevation, and regional or global kinetic wall motion abnormalities. We present a 43-year-old female with a subarachnoid hemorrhage who developed persistent hypotension and tachycardia secondary to neurogenic stress cardiomyopathy. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: It is important to consider NSM in any patient with neurologic pathology and undifferentiated shock. Early recognition in the emergency department setting can yield valuable data to guide the treatment and improve clinical outcomes in these patients.

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Mentioned in this Paper

Takotsubo Cardiomyopathy
Accident and Emergency Department
Subarachnoid Hemorrhage
Neurology Speciality
Cardiac Enzymes Measurement

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