Transient left ventricular basal dysfunction without coronary stenosis in acute cerebral disorders: a novel heart

Pierre V Ennezat1, David Pesenti-Rossi, Jean Marc Aubert

  • 1Intensive Care Unit, Cardiology Hospital, Lille, and Cardiology Department, Beaujon Hospital, Clichy (DL, ACS), France. ennezat@yahoo.com

Insights

Acute cerebral diseases can cause myocardial dysfunction without coronary artery issues. This pattern of left ventricular dysfunction, seen in four cases, suggests a link to acute brain disorders.

Area of Science:

  • Cardiology
  • Neurology
  • Cardioneurology

Background:

  • Myocardial dysfunction can occur in acute neurological conditions.
  • Coronary artery disease is a common cause of myocardial dysfunction.

Observation:

  • Four cases of acute cerebral disorders presented with myocardial dysfunction.
  • Echocardiograms showed extensive left ventricular circumferential akinesis, sparing the apex.
  • Three of these cases had no evidence of coronary artery disease.

Findings:

  • A specific pattern of left ventricular dysfunction (circumferential akinesis except apex) was observed.
  • This pattern was associated with acute cerebral diseases.

Implications:

  • Recognition of this echocardiographic pattern prompts investigation into acute cerebral disorders.
  • This highlights the interplay between neurological and cardiac function.

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