<abstract xmlns="http://www.w3.org/1999/xhtml">

The Stroke-Heart syndrome is a major chapter in neurocardiology. Both brain-heart and stroke-heart correlations are based on neurophysiological studies that define and describe the relation between the central autonomic system and cardiac function and it will be presented in this narrative review.
The Stroke-Heart syndrome groups the entire spectrum of cardiac changes – clinical, ECG, echocardiographic, biological, morphological – that occur in the first 30 days from the onset of stroke, especially in the first days. Their presence significantly marks the evolution and prognosis of stroke.
The damage resulted from hypothalamus-pituitary-adrenal axis activation and high catecholamine release (adrenergic storm) targets mainly the myocyte and the microcirculation.The Takotsubo syndrome and Stunned myocardium are distinct forms of neurogenic myocardial ischemia – with changes in ECG, parietal motility, and biological markers – usually reversible although evolution towards cardiac dysfunction is also possible.
The concept of Stroke-Heart syndrome and the brain-heart correlation brought new scientific information regarding stress cardiomyopathy or neurogenic myocardial injury.
</abstract>

The Stroke-Heart syndrome is a major chapter in neurocardiology. Both brain-heart and stroke-heart correlations are based on neurophysiological studies that define and describe the relation between the central autonomic system and cardiac function and it will be presented in this narrative review.
The Stroke-Heart syndrome groups the entire spectrum of cardiac changes – clinical, ECG, echocardiographic, biological, morphological – that occur in the first 30 days from the onset of stroke, especially in the first days. Their presence significantly marks the evolution and prognosis of stroke.
The damage resulted from hypothalamus-pituitary-adrenal axis activation and high catecholamine release (adrenergic storm) targets mainly the myocyte and the microcirculation.The Takotsubo syndrome and Stunned myocardium are distinct forms of neurogenic myocardial ischemia – with changes in ECG, parietal motility, and biological markers – usually reversible although evolution towards cardiac dysfunction is also possible.
The concept of Stroke-Heart syndrome and the brain-heart correlation brought new scientific information regarding stress cardiomyopathy or neurogenic myocardial injury.

From Neurocardiology to Stroke-Heart Syndrome

“Carol Davila” University of Medicine and Farmacy

Romanian Journal of Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"From Neurocardiology to Stroke-Heart Syndrome"}

The Stroke-Heart syndrome is a major chapter in neurocardiology. Both brain-heart and stroke-heart correlations are based on neurophysiological studies that...

From Neurocardiology to Stroke-Heart Syndrome

Published Online: Aug 04, 2023

Page range: 177 - 185

Received: Jul 23, 2023

DOI: https://doi.org/10.2478/rjim-2023-0020

Keywords
neurocardiology, Stroke-Heart syndrome, Takotsubo syndrome

© 2023 Ileana Raluca Nistor et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

From Neurocardiology to Stroke-Heart Syndrome

Published Online: Aug 04, 2023

Page range: 177 - 185

Received: Jul 23, 2023

DOI: https://doi.org/10.2478/rjim-2023-0020

Keywordsneurocardiology, Stroke-Heart syndrome, Takotsubo syndrome

© 2023 Ileana Raluca Nistor et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
neurocardiology, Stroke-Heart syndrome, Takotsubo syndrome