Myocardial Stunning
OVERVIEW
- Myocardial Stunning = temporary cardiac muscle dysfunction secondary to an insult (ischaemia, hypoxia, very high afterload)
- can be focal or global
CAUSES
- post-reperfusion of a blocked coronary artery
- post-cardiac surgery
- post-cocaine OD
- post-cardiac arrest
- post-cardioversion
- in association with phaeochromocytoma
CLINICAL FEATURES
- low output state
- CCF
MANAGEMENT
- treat cause
- optimize coronary blood flow
- rest heart (decrease O2 consumption and allow muscle recovery)
- treat arrhythmias
- restore blood pressure
- fluid
- inotropes/vasoactives
- IABP
- VADs
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC