Stunned Myocardium

In rare cases, myocardial contractility may be impaired after SAH, leading to a fall in cardiac output and blood pressure, with subsequent pulmonary edema. Even though this condition has been referred to as "stunned myocardium," an element of neurogenic pulmonary edema may also be seen. The management of this condition is similar to treatment of acute pump failure of other etiologies and includes administration of inotropic agents, diuretics, high concentrations of oxygen, and positive end-expiratory pressure. This state is surprisingly transient and is usually completely reversed in an average of four days.

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