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The Hidden Heart: Exploring Cardiac Damage Post-Stroke: A Narrative Review.
Marian Mitrică1, Lorenzo Lorusso2, Alexandru-Andrei Badea3
1Clinical Neurosciences Department, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Medicina (Kaunas, Lithuania)
|October 26, 2024
Summary
Stroke-heart syndrome (SHS) involves cardiac issues after ischemic stroke. Early detection and management of these brain-heart complications are crucial for improving stroke survivor outcomes.
Area of Science:
- Cardiology
- Neurology
- Internal Medicine
Background:
- Stroke-heart syndrome (SHS) comprises cardiac complications following ischemic stroke.
- The brain-heart axis plays a critical role in SHS pathophysiology.
Purpose of the Study:
- To review the pathophysiology, clinical manifestations, and implications of SHS.
- To highlight the absence of specific management guidelines for SHS.
Main Methods:
- Comprehensive literature search and synthesis of recent studies.
- Exploration of mechanisms underlying SHS and identification of knowledge gaps.
Main Results:
- Five cardinal manifestations of SHS: elevated cardiac troponin, myocardial infarction, left ventricular dysfunction, arrhythmias, and sudden cardiac death.
- Acute ischemic stroke triggers autonomic dysfunction, leading to myocardial injury.
Conclusions:
- Early detection and multidisciplinary management of cardiac complications post-stroke are essential.
- Further research is needed to establish evidence-based protocols for SHS to improve patient outcomes and reduce mortality.
