Journal Of Scientific Innovations In Anesthesiology

Non-invasive cardiac output monitoring in brain trauma–induced takotsubo: a case report

• Authors Details :  
• Kali Charan Das,  
• Hirok Roy,  
• Ashish Bindra,  
• Karamsi Gopinath Naik

Journal title : Journal of Scientific Innovations in Anesthesiology

Publisher : Revo Publication

Page Number : 28-31

Journal volume : 1

Journal issue : 1

32 Views Case Report

To report a case of neurogenic stress cardiomyopathy post-trauma, managed using Non-Invasive Cardiac Output Monitor (NICOM)-guided conservative therapy. A middle-aged patient with traumatic subdural and subarachnoid hemorrhages developed hemodynamic instability. ECG showed QT prolongation; echocardiography revealed apical ballooning. We used NICOM which indicated low cardiac output (3.5 L/min). Fluids and inotropes were adjusted based on NICOM trends. The patient showed gradual hemodynamic and cardiac recovery. NICOM guided safe de-escalation of inotropes. Echocardiography normalized, and the patient was discharged. NICOM can be used for precise, non-invasive hemodynamic monitoring, aiding recovery in stress cardiomyopathy. Keywords: Traumatic brain injury, Takotsubo cardiomyopathy, Stress cardiomyopathy, Non-invasive cardiac output monitoring, Hemodynamic instability, Apical ballooning, Neurocritical care.

Article DOI & Crossmark Data

DOI : https://doi.org/10.65929/JSIA.2026.1.1.005

Article Subject Details

• Aesthetic and Health Rejuvenation
• Anaestheisa modulation
• Anaesthesia

Article Keywords Details

• Apical ballooning
• Hemodynamic instability
• Neurocritical care
• Non-invasive cardiac output monitoring
• Stress cardiomyopathy
• Takotsubo cardiomyopathy
• Traumatic brain injury

Article File

Full Text PDF

---

More Article by Journal of Scientific Innovations in Anesthesiology