TY - JOUR
T1 - NEUROLOGY OF SYSTEMIC DISEASE
T2 - ARTICLE 1: NEUROLOGIC COMPLICATIONS OF CARDIAC AND PULMONARY DISEASE
AU - Mainali, Shraddha
AU - Diesing, T. Scott
AU - Toledano, Michel
AU - Marulanda, Erika
AU - Tornes, Leticia
AU - Ghoshal, Shivani
AU - Mauermann, Michelle L.
AU - Southerland, Andrew M.
AU - Morris, Nicholas A.
AU - Sarwal, Aarti
AU - Reda, Haatem
AU - Porter, Alyx B.
AU - Stitt, Derek
AU - Gill, Christine
AU - Cho, Tracey A.
N1 - Publisher Copyright:
© American Academy of Neurology.
PY - 2023/6/1
Y1 - 2023/6/1
N2 - OBJECTIVE: The heart and lungs work as a functional unit through a complex interplay. The cardiorespiratory system is responsible for the delivery of oxygen and energy substrates to the brain. Therefore, diseases of the heart and lungs can lead to various neurologic illnesses. This article reviews various cardiac and pulmonary pathologies that can lead to neurologic injury and discusses the relevant pathophysiologic mechanisms. LATEST DEVELOPMENTS: We have lived through unprecedented times over the past 3years with the emergence and rapid spread of the COVID-19 pandemic. Given the effects of COVID-19 on the lungs and heart, an increased incidence of hypoxic-ischemic brain injury and stroke associated with cardiorespiratory pathologies has been observed. Newer evidence has questioned the benefit of induced hypothermia in patients with out-of-hospital cardiac arrest. Further, global collaborative initiatives such as the Curing Coma Campaign are underway with the goal of improving the care of patients with coma and disorders of consciousness, including those resulting from cardiac and pulmonary pathologies. ESSENTIAL POINTS: The neurologic complications of cardiorespiratory disorders are common and present in various forms such as stroke or hypoxic and anoxic injury related to cardiac or respiratory failure. With the emergence of the COVID-19 pandemic, neurologic complications have increased in recent years. Given the intimate and interdependent dynamics of the heart, lungs, and brain, it is crucial for neurologists to be aware of the interplay between these organs.
AB - OBJECTIVE: The heart and lungs work as a functional unit through a complex interplay. The cardiorespiratory system is responsible for the delivery of oxygen and energy substrates to the brain. Therefore, diseases of the heart and lungs can lead to various neurologic illnesses. This article reviews various cardiac and pulmonary pathologies that can lead to neurologic injury and discusses the relevant pathophysiologic mechanisms. LATEST DEVELOPMENTS: We have lived through unprecedented times over the past 3years with the emergence and rapid spread of the COVID-19 pandemic. Given the effects of COVID-19 on the lungs and heart, an increased incidence of hypoxic-ischemic brain injury and stroke associated with cardiorespiratory pathologies has been observed. Newer evidence has questioned the benefit of induced hypothermia in patients with out-of-hospital cardiac arrest. Further, global collaborative initiatives such as the Curing Coma Campaign are underway with the goal of improving the care of patients with coma and disorders of consciousness, including those resulting from cardiac and pulmonary pathologies. ESSENTIAL POINTS: The neurologic complications of cardiorespiratory disorders are common and present in various forms such as stroke or hypoxic and anoxic injury related to cardiac or respiratory failure. With the emergence of the COVID-19 pandemic, neurologic complications have increased in recent years. Given the intimate and interdependent dynamics of the heart, lungs, and brain, it is crucial for neurologists to be aware of the interplay between these organs.
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U2 - 10.1212/01.CON.0000944380.63140.f5
DO - 10.1212/01.CON.0000944380.63140.f5
M3 - Article
AN - SCOPUS:85164986634
SN - 1080-2371
VL - 29
JO - CONTINUUM Lifelong Learning in Neurology
JF - CONTINUUM Lifelong Learning in Neurology
IS - 3
ER -