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000275907 1001_ $$0P:(DE-2719)9003150$$aStengl, Helena$$b0$$eFirst author
000275907 245__ $$aHow the brain impacts the heart: lessons from ischaemic stroke and other neurological disorders.
000275907 260__ $$aLondon$$bBMJ Publ. Group$$c2025
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000275907 520__ $$aCardiovascular alterations are common in patients who had ischaemic stroke, haemorrhagic stroke and other acute brain disorders such as seizures. These cardiac complications are important drivers of morbidity and mortality and comprise blood-based detection of cardiomyocyte damage, ECG changes, heart failure and arrhythmia. Recently, the concept of a distinct 'stroke-heart syndrome' has been formulated as a pathophysiological framework for poststroke cardiac complications. The concept considers cardiac sequelae after stroke to be the result of a stroke-induced disturbance of the brain-heart axis. In this review, we describe the spectrum of cardiac changes secondary to ischaemic stroke and other acute brain disorders. Furthermore, we focus on Takotsubo syndrome secondary to acute brain disorders as a model disease of disturbed brain-heart interaction. Finally, we aim to provide an overview of the anatomical and functional links between the brain and the heart, with emphasis on the autonomic network and the role of inflammation. Given the clinical relevance of the deleterious impact of acute brain injury on the heart, we call for clinical awareness and for starting joint efforts combining expertise of neurology and cardiology to identify specific therapeutic interventions.
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000275907 650_7 $$2Other$$aArrhythmias, Cardiac
000275907 650_7 $$2Other$$aBiomarkers
000275907 650_7 $$2Other$$aCardiovascular Diseases
000275907 650_7 $$2Other$$aInflammation
000275907 650_7 $$2Other$$aStroke
000275907 650_2 $$2MeSH$$aHumans
000275907 650_2 $$2MeSH$$aIschemic Stroke: physiopathology
000275907 650_2 $$2MeSH$$aIschemic Stroke: etiology
000275907 650_2 $$2MeSH$$aBrain: physiopathology
000275907 650_2 $$2MeSH$$aHeart: physiopathology
000275907 650_2 $$2MeSH$$aTakotsubo Cardiomyopathy: physiopathology
000275907 650_2 $$2MeSH$$aTakotsubo Cardiomyopathy: etiology
000275907 650_2 $$2MeSH$$aTakotsubo Cardiomyopathy: diagnosis
000275907 650_2 $$2MeSH$$aHeart Diseases: etiology
000275907 650_2 $$2MeSH$$aHeart Diseases: physiopathology
000275907 7001_ $$aPoller, Wolfram C$$b1
000275907 7001_ $$00009-0006-4116-3596$$aDi Vece, Davide$$b2
000275907 7001_ $$aTemplin, Christian$$b3
000275907 7001_ $$0P:(DE-2719)2811033$$aEndres, Matthias$$b4$$udzne
000275907 7001_ $$aNolte, Christian H$$b5
000275907 7001_ $$0P:(DE-2719)9001514$$aScheitz, Jan F$$b6
000275907 773__ $$0PERI:(DE-600)2378689-9$$a10.1136/heartjnl-2024-324173$$gVol. 111, no. 3, p. heartjnl-2024-324173 -$$n3$$p99 - 108$$tBritish heart journal$$v111$$x0007-0769$$y2025
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