A review on fueling recovery: the role of metabolic modulation in non-obstructive myocardial stunning

Eur J Med Res. 2025 Dec 5;30(1):1211. doi: 10.1186/s40001-025-03439-w.

Abstract

Non-obstructive myocardial stunning is characterized by transient myocardial contractile dysfunction despite preserved coronary perfusion. Although increasingly recognized, it remains a diagnostic and therapeutic challenge in cardiology. This review synthesizes current insights into reversible cardiomyopathies, explores the potential of antimetabolic and anti-ischemic agents in their management, and highlights emerging therapeutic avenues. Greater understanding of these mechanisms may improve patient outcomes in this underexplored area.

Keywords: Anti-ischemic agents; Energy metabolism; Neurohumoral mechanisms; Non-obstructive stunning; Oxidative stress; İnflammation.

Publication types

  • Review

MeSH terms

  • Animals
  • Energy Metabolism*
  • Humans
  • Myocardial Stunning* / drug therapy
  • Myocardial Stunning* / metabolism
  • Myocardial Stunning* / physiopathology
  • Myocardium / metabolism