Neurological complications of cardiac disease (heart brain disorders)

被引:0
|
作者
Finsterer, Josef [1 ]
Stoellberger, Claudia [2 ]
机构
[1] Rudolfstiftung Hosp, Vienna, Austria
[2] Rudolfstiftung Hosp, Med Dept Cardiol & Intens Care Med 2, Vienna, Austria
关键词
Embolism; Stroke; Endocarditis; Syncope; Arrhythmias; cardiac; Cerebral hemorrhage; PATENT FORAMEN OVALE; LEFT ATRIAL APPENDAGE; TRANSIENT ISCHEMIC ATTACK; CRYPTOGENIC STROKE; CATHETER ABLATION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; PERCUTANEOUS CLOSURE; HEMORRHAGIC STROKE; PROGNOSTIC-FACTORS; MEDICAL THERAPY;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: Heart disease is a frequent cause of cerebral compromise. This review aimed at summarising and discussing available data about heart brain disorders. METHODS: We performed a literature search in conventional databases. RESULTS: Frequent cerebral complications of cardiac disease include embolic stroke, syncope, and intracerebral bleeding. Rare complications are watershed infarction, brain abscess, meningitis, metastasis, dementia, or aneurysm formation. The most frequent and most well-known cardiac cause of neurological complications is cardiac embolism. Cardiac emboli can be of different material and derive from the left atrium, left atrial appendage, left ventricle, or the mitral or aortic valves. Also arrhythmias such as atrial fibrillation or atrial flutter may give rise to thrombus formation. Heart failure, myocardial infarction, myocardial aneurysm, endocarditis/myocarditis, and noncompaction are further causes of cerebral embolism. Another cardiac cause of neurological complications is low output failure due to systolic dysfunction, arrhythmias, or valve stenosis. Arrhythmias are not only associated with intra-cardiac thrombus formation but may also lead to low output failure and consecutively to watershed infarction, vertigo, fainting, or syncope. Valve abnormalities can be another source of neurological disease. CONCLUSION: The cardiologist must know about the neurological complications of heart disease and the neurologist must know about the cardiac causes of cerebral abnormalities. Heart-brain disorders require a bidisciplinary diagnostic and therapeutic approach.
引用
收藏
页码:14 / 25
页数:12
相关论文
共 50 条
  • [1] Cardiac disease in brain-heart disorders
    Finsterer, Josef
    Wahbi, Karim
    ACTA CARDIOLOGICA, 2016, 71 (04) : 389 - 394
  • [2] Neurological Complications of Cardiac Disease
    Madan, Nandini
    Carvalho, Karen S.
    SEMINARS IN PEDIATRIC NEUROLOGY, 2017, 24 (01) : 3 - 13
  • [3] Neurological complications of heart disease
    Cheung, RTF
    BAILLIERES CLINICAL NEUROLOGY, 1997, 6 (02): : 337 - 355
  • [4] NEUROLOGICAL COMPLICATIONS OF CARDIAC SURGERY AND RESPIRATORY DISORDERS
    ABRAMS, LD
    PROCEEDINGS OF THE ROYAL SOCIETY OF MEDICINE-LONDON, 1967, 60 (09): : 855 - &
  • [5] Neurological complications in patients with heart disease
    Palencia, R
    REVISTA DE NEUROLOGIA, 2002, 35 (03) : 279 - 285
  • [6] Neurological complications of congenital heart disease
    Krishna Kumar
    The Indian Journal of Pediatrics, 2000, 67 (4) : 287 - 291
  • [7] INCIDENCE OF NEUROLOGICAL COMPLICATIONS IN CONGENITAL HEART DISEASE
    TYLER, HR
    CLARK, DB
    ARCHIVES OF NEUROLOGY AND PSYCHIATRY, 1957, 77 (JAN): : 17 - 22
  • [8] NEUROLOGICAL COMPLICATIONS OF CONGENITAL HEART-DISEASE
    PERNOT, C
    GAZETTE MEDICALE DE FRANCE, 1981, 88 (04): : 349 - &
  • [9] NEUROLOGICAL COMPLICATIONS OF HEART-DISEASE IN CHILDHOOD
    PUNTIS, JWL
    GREEN, SH
    BRITISH JOURNAL OF CLINICAL PRACTICE, 1989, 43 (06): : 217 - 220
  • [10] Neurological and Psychiatric Disorders in Patients with Rheumatic Heart Disease: Unveiling what is Beyond Cardiac Manifestations
    Vasconcelos, Luiz Oaulo Bastos
    Vasconcelos, Marcelle Cristina da Silva Bastos
    di Flora, Francisco Biagio Murta E.
    de Oliveira, Flavio Augusto Pael
    Lima, Pedro Drummond
    Silva, Lucas Campos Barbosa E.
    Spolaor, Breno Camargos Mucelli
    da Silva, Jose Luiz Padilha
    Esteves, William Antonio de Magalhaes
    Nunes, Maria Carmo P.
    Teixeira, Antonio Lucio
    GLOBAL HEART, 2022, 17 (01)