Stroke-Heart Syndrome

Brain and heart interact in a bidirectional way. At BrainHeartLab, we are particularly interested in the cardiovascular consequences of acute stroke.

About our Findings

In fact, there is a huge burden of early cardiovascular complications after stroke. Our own findings show that many patients with stroke experience cardiac injury and dysfunction during the early post-stroke phase. These patients are at high risk for short-term and long-term major adverse cardiovascular events and death.

The Concept of a Distinct ‘Stroke–Heart Syndrome’

The Concept of a Distinct ‘Stroke–Heart Syndrome’

To provide a pathophysiological framework for the entire spectrum of post-stroke cardiac complications, our group formulated the concept of a distinct ‘stroke–heart syndrome’. This novel syndrome is based on the hypothesis that vascular brain damage can lead to cardiac injury and prompt deleterious cardiac tissue remodeling over time. Together with our interdisciplinary partners, our ongoing research aims to improve our understanding of the interplay between I) stroke-related neuronal factors, II) systemic mediators, and III) downstream cardiac changes that lead to the clinical manifestations of the stroke-heart syndrome.

Clinical Studies

Cardiomyocyte Injury Following Acute Ischemic Stroke (CORONA-IS): recruitment concluded in 2023.

Collaborators

  • Prof. Dr. Jeanette Schulz-Menger, Working Group on Cardiovascular MRI, Charité – Universitätsmedizin Berlin
  • Prof. Dr. Dr. Wolfram Döhner, AG Interdisziplinäre Schlaganfallforschung - Charité – Universitätsmedizin Berlin
  • Prof. Luciano Sposato, University of Western Ontario, Canada
  • Prof. Arno Villringer, MPI für Kognitions- und Neurowissenschaften, Leipzig
  • Axel Bauer, Klinik für Innere Medizin III mit den Schwerpunkten Kardiologie und Angiologie, Innsbruck
  • Azmil Abdul-Rahim, University of Glasgow, UK
  • Gregory Lip, University of Liverpool, UK
  • Christian Templin, Klinik für Innere Medizin, Universität Greifswald
  • Mira Katan, Neurologie, Basel

Related Publications

  • Stengl H, Böhme S, Richter O, Hellwig S, Klammer MG, Ganeshan R, Reimann L, Lieschke S, von Rennenberg R, Audebert HJ, Doehner W, Nolte CH, Endres M, Scheitz JF. Myocardial injury in patients with acute ischemic stroke: Prevalence and types of triggers of myocardial demand ischemia. Eur Stroke J. 2025 Jun 21:23969873251346008. doi: 10.1177/23969873251346008. Epub ahead of print. PMID: 40542696; PMCID: PMC12182556.
  • Stengl H, Poller WC, Di Vece D, Templin C, Endres M, Nolte CH, Scheitz JF. How the brain impacts the heart: lessons from ischaemic stroke and other neurological disorders. Heart. 2025 Jan 13;111(3):99-108. doi: 10.1136/heartjnl-2024-324173. PMID: 39515993.
  • Scheitz JF, Sposato LA, Schulz-Menger J, Nolte CH, Backs J, Endres M. Stroke-Heart Syndrome: Recent Advances and Challenges. J Am Heart Assoc. 2022 Sep 6;11(17):e026528. Doi: 10.1161/JAHA.122.026528. Epub 2022 Sep 3. PMID: 36056731; PMCID: PMC9496419.
  • Sposato LA, Hilz MJ, Aspberg S, Murthy SB, Bahit MC, Hsieh CY, Sheppard MN, Scheitz JF; World Stroke Organisation Brain & Heart Task Force. Post-Stroke Cardiovascular Complications and Neurogenic Cardiac Injury: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020 Dec 8;76(23):2768-2785. doi: 10.1016/j.jacc.2020.10.009. PMID: 33272372.
  • Scheitz JF, Nolte CH, Doehner W, Hachinski V, Endres M. Stroke-heart syndrome: clinical presentation and underlying mechanisms. Lancet Neurol. 2018 Dec;17(12):1109-1120. doi: 10.1016/S1474-4422(18)30336-3. Epub 2018 Oct 26. PMID: 30509695.
  • Scheitz JF, Villringer A, Mikail N, Gebhard C, Endres M. Bidirectional brain–heart interactions in health and disease. Nature Reviews Neurology 2026 (in press)