IMR Press / RCM / Volume 11 / Issue 4 / DOI: 10.3909/ricm0544

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on as a courtesy and upon agreement with MedReviews, LLC.

Open Access Case Review
Subarachnoid Hemorrhage With Neurocardiogenic Stunning
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1 Department of Internal Medicine, Duke University Medical Center, Durham, NC
2 Department of Cardiology, William Beaumont Hospital, Royal Oak, MI
3 St. John Providence Health System, Providence Park Heart Institute, Novi, MI
Rev. Cardiovasc. Med. 2010, 11(4), 254–263;
Published: 30 December 2010
A well-recognized complication of acute neurologic injury from intracranial bleeding is cardiotoxicity with electrocardiographic changes and transient left ventricular dysfunction. The phenomenon, called neurocardiogenic stunning (NCS), occurs in 20% to 30% cases of patients with acute subarachnoid hemorrhage (SAH). In this article, we describe a patient with acute SAH complicated by NCS and use this case to highlight the pathogenesis, diagnostic challenges, and management dilemmas that arise in such patients. We also review conventional surgical and medical treatment and present new therapeutic options for this problem.
Neurocardiogenic stunning
Left ventricular dysfunction
Subarachnoid hemorrhage
Stress-induced cardiomyopathy
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