Postictal neurogenic stunned myocardium.
Neurogenic left ventricular dysfunction is a recognized complication of subarachnoid hemorrhage, but this condition has not been reported after seizure activity. The authors present two cases of neurogenic stunned myocardium after convulsive seizures, suggesting that ictal activity can lead to sympathetically mediated cardiac injury.
Chin
Peter S
PS
Department of Medicine, University of California Los Angeles, and The Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA. pchin@mednet.ucla.edu
Branch
Kelley R
KR
Becker
Kyra J
KJ
D000927:Anticonvulsants / Q000627:therapeutic use; D001342:Autonomic Nervous System Diseases / Q000150:complications / Q000209:etiology / Q000503:physiopathology; D001569:Benzodiazepines / Q000627:therapeutic use; D002395:Catecholamines / Q000378:metabolism; D002543:Cerebral Hemorrhage / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D004562:Electrocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000294:innervation / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017682:Myocardial Stunning / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D009206:Myocardium / Q000378:metabolism* / Q000473:pathology; D012640:Seizures / Q000150:complications* / Q000209:etiology / Q000503:physiopathology; D017779:Sympathetic Fibers, Postganglionic / Q000378:metabolism / Q000503:physiopathology; D015899:Tomography, Emission-Computed, Single-Photon; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology
D000927:Anticonvulsants; D002395:Catecholamines; D001569:Benzodiazepines