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.
Abstract:
Myocardial dysfunction without coronary involvement may occur in acute cerebral diseases. We report 4 cases where, in the context of acute cerebral disorder, the echocardiograms revealed an extensive left ventricular circumferential akinesis except at the apex. Besides, for three of those cases no coronary disease has been highlighted. Recognition of such a pattern of LV dysfunction should lead to the search for an acute cerebral disease.
Related Concept Videos
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Transient Ischemic Attack l: Introduction
Acute Coronary Syndrome III: Diagnostic Studies
Cardiomyopathy I: Introduction and Classification
Cardiomyopathy III: Hypertrophic Cardiomyopathy


