Impact of neurogenic stunned myocardium syndrome on the outcome of patients with intracranial hemorrhage

Background Neurogenic stunned myocardium (NSM) is described as myocardial dysfunction and injury of unexpected acute onset that occurs following miscellaneous types of acute brain insult as a consequence of dysregulation in the autonomic nervous system. “Stunned myocardium,” defined as reversible left ventricle dysfunction. Conventional methods of diagnosing NSM have relied on changes in electrocardiography and echocardiography, as well as troponemia. Objective To assess the influence of NSM syndrome on the outcome of critically ill intracranial hemorrhage patients. Patients and methods This cohort study was conducted on 60 adult male and female patients. Complete detailed medical history, clinical examination, laboratory, and radiological investigations were performed for all participants. ECG was done on admission and daily for the subsequent 72 h. Patients were divided into two categories based on whether they exhibited NSM syndrome or not. The study was conducted using the IBM SPSS software package version 20.0. Results There were 10 (33.3%) fatalities in group A over the first 72 h, compared with four (13.3%) deaths in group B. A significant variance was seen between both groups with respect to the Glasgow outcome scale and mechanical ventilation days. Patients with NSM had a worse outcome. Conclusion Intracranial hemorrhage patients with NSM had poorer cardiac function, higher cardiac biomarkers, more ECG and echocardiographic abnormalities, and lower oxygenation indices compared with those patients without the syndrome.