This review provides a 2001 update on the clinical contexts of myocardial stunning, highlighting emerging concepts like neurogenic and left atrial stunning.
Supports broader recognition of stunning triggers; leaves open prospective validation before practice change.
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.
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Kloner et al. (2001) studied this question.
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