The Irreversible Neurogenic Stress Cardiomyopathy During Large Supratentorial Brain Tumor Resection

Lechowicz-Głogowska, Ewa; Rojek, Agata; Duszyńska, Wiesława

doi:10.1007/s12028-019-00847-9

Cited by 3 publications

(3 citation statements)

References 14 publications

(28 reference statements)

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“…Association of increased ICP and cardiac dysfunction is sparsely reported. [ 14 , 17 ] This is, to our knowledge, the first prospective study on the reversibility of myocardial dysfunction and supratentorial tumors.…”

Section: Discussionmentioning

confidence: 99%

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A prospective exploratory study to assess echocardiographic changes in patients with supratentorial tumors – Effect of craniotomy and tumor decompression

Ramakumar

Gupta

Arora

et al. 2023

Surgical Neurology International

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Background: Functional changes in the myocardium secondary to increased intracranial pressure (ICP) are studied sparingly. Direct echocardiographic changes in patients with supratentorial tumors have not been documented. The primary aim was to assess and compare the transthoracic echocardiography changes in patients with supratentorial tumors presenting with and without raised intracranial pressure for neurosurgery. Methods: Patients were divided into two groups based on preoperative radiological and clinical evidence of midline shift of <6 mm without features of raised ICP (Group 1) or greater than 6mm with features of raised ICP (Group 2). Hemodynamic, echocardiographic, and optic nerve sheath diameter (ONSD) parameters were obtained during the preoperative period and 48 h after the surgery. Results: Ninety patients were assessed, 88 were included for analysis. Two were excluded based on a poor echocardiographic window (1) and change in the operative plan (1). Demographic variables were comparable. About 27% of the patients in Group 2 had ejection fraction <55% and 21.2% had diastolic dysfunction in Group 2 in the preoperative period. There was a decrease in the number of patients with a left ventricular (LV) function <55% from 27% before surgery to 19% in the postoperative period in group 2. About 5.8% patients with moderate LV dysfunction in the preoperative period had normal LV function postoperatively. We found a positive correlation between ONSD parameters and radiological findings of raised intracranial pressure. Conclusion: The study demonstrated that in patients with supratentorial tumors with ICP, cardiac dysfunction might be present in the preoperative period.

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Section: Discussionmentioning

confidence: 99%

“…Only a few case reports have investigated a persistent increase in ICP in primary brain tumors that causes cardiac dysfunction. [ 17 , 32 , 39 ] There is currently a paucity of studies investigating the effects of interventions intended to lower ICP on the restoration of cardiac dysfunction after brain tumor.…”

Section: Introductionmentioning

confidence: 99%

A prospective exploratory study to assess echocardiographic changes in patients with supratentorial tumors – Effect of craniotomy and tumor decompression

Ramakumar

Gupta

Arora

et al. 2023

Surgical Neurology International

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show abstract

“…Many anti-tumor agents were also associated with increased risk of stress cardiomyopathy in cancer patients (39). Patients who underwent major cancer surgeries were also at risk of developing stress cardiomyopathy (40). Compared with non-cancer patients who developed stress cardiomyopathy, cancer patients who diagnosed as stress cardiomyopathy had increased risk of respiratory insufficiency, prolonged hospital length of stay, slower recovery of cardiac function, and were more likely to develop cardiac arrest (41,42).…”

Section: Question 6 What Is the Clinical Characteristic And Prognosis Of Perioperative Stress Cardiomyopathy?mentioning

confidence: 99%

Expert consensus of perioperative intensive care and management of critically ill cancer patients (2021)

Wang

Chen

et al. 2021

Ann Palliat Med

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Letter to the Editor Regarding “Pipeline Embolization in Patients with Posterior Circulation Subarachnoid Hemorrhages: Is Takotsubo Cardiomyopathy a Limiting Factor?”

2020

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The Irreversible Neurogenic Stress Cardiomyopathy During Large Supratentorial Brain Tumor Resection

Cited by 3 publications

References 14 publications

A prospective exploratory study to assess echocardiographic changes in patients with supratentorial tumors – Effect of craniotomy and tumor decompression

A prospective exploratory study to assess echocardiographic changes in patients with supratentorial tumors – Effect of craniotomy and tumor decompression

Expert consensus of perioperative intensive care and management of critically ill cancer patients (2021)

Letter to the Editor Regarding “Pipeline Embolization in Patients with Posterior Circulation Subarachnoid Hemorrhages: Is Takotsubo Cardiomyopathy a Limiting Factor?”

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