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Are Heart Attacks Really Brain Attacks?

  • Chapter
The Heart and Stroke

Part of the book series: Clinical Medicine and the Nervous System ((CLIN.MED.NERV.))

Abstract

In 1664, Thomas Willis recognized that the brain and the cardiovascular system are interdependent-when he wrote De Anatome Cerebri (Willis 1664). For the relief of angina pain, Francois Franck, in 1899, proposed a cervicothoracic sympathectomy to interrupt the nociceptive cardiac efferents (Franck, cited by Danielopolu 1949). Through clinical and experimental work, a high thoracic sympathectomy was found to benefit angina (Leriche et al.* 1931) and attenuate the tendency to ventricular fibrillation. Cox and Robertson (1936) reduced the incidence of acute cardiac deaths in dogs with stellate ganglionectomy following experimental coronary occlusion. Cannon (1931) hypothesized that the most highly encephalized parts of the brain should regulate both sensory input and autonomic output during an animal’s response to a significant stimulus. Smith (1945) demonstrated that electrical stimulation of the cingulate cortex within the frontal lobe could temporarily stop the heart.

This work was supported in part by NIH grants #NS23393 to Dr. K.M. A. Welch and #HL31164 to Dr James E. Skinner

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Authors
  1. S. R. Levine
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  2. V. M. Patel
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  3. K. M. A. Welch
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  4. J. E. Skinner
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Editors and Affiliations

  1. Cerebrovascular Program, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

    Anthony J. Furlan MD (Director) (Director)

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Levine, S.R., Patel, V.M., Welch, K.M.A., Skinner, J.E. (1987). Are Heart Attacks Really Brain Attacks?. In: Furlan, A.J. (eds) The Heart and Stroke. Clinical Medicine and the Nervous System. Springer, London. https://doi.org/10.1007/978-1-4471-3129-8_11

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  • DOI: https://doi.org/10.1007/978-1-4471-3129-8_11

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