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[Hibernation and stunning: conditions with reversible left ventricular dysfunction]

P R Hansen1

  • 1Kardiologisk afdeling P, Amtssygehuset i Gentofie.

Ugeskrift for Laeger
|October 6, 1997
PubMed
Summary

Hibernation and stunning can cause reversible left ventricular dysfunction in ischemic heart disease. A patient

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Area of Science:

  • Cardiology
  • Cardiovascular Physiology

Background:

  • Ischemic heart disease can lead to left ventricular dysfunction.
  • Hibernation and stunning are recognized causes of reversible myocardial dysfunction.

Observation:

  • A patient with ischemic heart disease presented with severe left ventricular dysfunction.
  • The patient was referred for cardiac allograft transplantation due to the severity of the dysfunction.

Findings:

  • Left ventricular function significantly improved over two years.
  • Improvement occurred spontaneously, without cardiac transplantation.
  • Hibernation and stunning were the likely contributors to the initial dysfunction.

Implications:

  • This case highlights the potential for significant recovery of left ventricular function in ischemic heart disease.
  • It suggests that medical management and time may reverse dysfunction previously considered irreversible.
  • Reconsideration of transplantation may be warranted in select cases of hibernating or stunned myocardium.

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