急性非岛叶缺血性卒中中的心肌顿抑：一种罕见但常未被识别的情况。

Cardiac Stunning in Acute Noninsular Ischemic Stroke: An Uncommon But Often Unrecognized Scenario.

作者信息

Min Jiangyong, Senay Blake, Ahrar Asad, Wideman Brian, Stumpo Ryan, Ortiz Juan Fernando, Chalfoun Nagib, Chakraborty Tia

机构信息

Department of Neurosciences and Comprehensive Stroke Center, Corewell Health West, Grand Rapids, Michigan, USA; Department of Neurology, Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA.

Department of Neurology, Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA; Division of Neurocritical Care, Corewell Health West, Grand Rapids, Michigan, USA.

出版信息

JACC Case Rep. 2025 Jul 9;30(18):104024. doi: 10.1016/j.jaccas.2025.104024.

DOI:10.1016/j.jaccas.2025.104024

PMID:40645695

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12441451/

Abstract

BACKGROUND

The negative cardiac outcome in patients with acute stroke remains inconclusive and mixed. No data were reported on neurogenic cardiac insult in patients with acute noninsular ischemic stroke, specifically cerebellar stroke, and its impact on cardiac function.

METHODS AND RESULTS

We reported that 4 patients who were healthy at baseline developed transient cardiac stunning after acute ischemic cerebellar stroke. Patients' electrocardiograms and cardiac enzyme levels were normal, and no cardiac intervention was performed because of the presumed neurogenic cardiac outcome. Their cardiac dysfunction spontaneously returned to normal range within 2 to 3 months, as demonstrated by repeated cardiac magnetic resonance imaging or echocardiography.

CONCLUSIONS

Although acute stroke involving the insular cortex is a common cause of cardiac stunning, strokes of other territories, such as cerebellar stroke, as shown in this case series report, can also cause neurogenic cardiac dysfunction and should not be overlooked.

摘要