Brain-Heart Interactions in Traumatic Brain Injury. Review uri icon

Overview

abstract

  • The cardiovascular manifestations associated with nontraumatic head disorders are commonly known. Similar manifestations have been reported in patients with traumatic brain injury (TBI); however, the underlying mechanisms and impact on the patient's clinical outcomes are not well explored. The neurocardiac axis theory and neurogenic stunned myocardium phenomenon could partly explain the brain-heart link and interactions and can thus pave the way to a better understanding and management of TBI. Several observational retrospective studies have shown a promising role for beta-adrenergic blockers in patients with TBI in reducing the overall TBI-related mortality. However, several questions remain to be answered in clinical randomized-controlled trials, including population selection, beta blocker type, dosage, timing, and duration of therapy, while maintaining the optimal mean arterial pressure and cerebral perfusion pressure in patients with TBI.

publication date

  • January 1, 2017

Research

keywords

  • Brain
  • Brain Injuries, Traumatic
  • Heart
  • Myocardial Stunning

Identity

Scopus Document Identifier

  • 85040816320

Digital Object Identifier (DOI)

  • 10.1097/CRD.0000000000000167

PubMed ID

  • 28984668

Additional Document Info

volume

  • 25

issue

  • 6