Evidence for stunned myocardium in humans: a 2001 update.
This article describes clinical situations in which stunning occurs and updates previous reviews on the topic. Stunning following angioplasty, angina and exercise-induced ischemia, infarction, and after cardiac surgery are described. In addition, newer concepts regarding stunning, including neurogenic stunned myocardium, are discussed. Left atrial stunning following cardioversion is a recently recognized phenomenon with important clinical implications, but differs from the original concept of post-ischemic stunning.
Kloner
R A
RA
Heart Institute, Good Samaritan Hospital, Los Angeles, California 90017, USA. rkloner@goodsam.org
Arimie
R B
RB
Kay
G L
GL
Cannom
D
D
Matthews
R
R
Bhandari
A
A
Shook
T
T
Pollick
C
C
Burstein
S
S
D000789:Angina, Unstable / Q000150:complications; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D002490:Central Nervous System / Q000293:injuries; D004554:Electric Countershock / Q000009:adverse effects; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications; D017682:Myocardial Stunning / Q000209:etiology*; D018487:Ventricular Dysfunction, Left / Q000150:complications