Effect of Heart Failure on Acute Ischemic Stroke Severity

Alloush, Taha Kamel and Ibrahim, Mahmoud Haroun and El-Dein Ahmed, Nahed Salah and El-Shahed, Ghada Samir and El-Nabil El-Sayed, Lobna M. and Ibrahim, Mohamed Hamdy and Azmy, Hosam Ahmed (2014) Effect of Heart Failure on Acute Ischemic Stroke Severity. Open Journal of Medical Imaging, 04 (03). pp. 103-107. ISSN 2164-2788

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Abstract

Objectives: To assess the impact of heart failure diseases on stroke severity and short term (1 month mortality). Materials and Methods: Totally, 200 patients admitted to Ain Shams university specialized hospital, were diagnosed clinically to have acute ischemic stroke within 3 days. History taking about previous heart disease was taken, and full general and neurological examinations were done. Full metabolic profile, cardiac examination and investigations were done. Carotid duplex, MRI stroke protocol and lastly clinical reevaluation using NIH Stroke Scale (NIHSS) after 1 month from stroke onset were done. Results: Patients with systolic dysfunction (EF ≤ 40%) had lacunar infarction in 18.75% of cases, partial anterior circulation infarction in 62.5% of cases, posterior circulation infarction in 6.25% of cases and total anterior circulation infarction in 12.5% of cases. Leucoaraiosis was present in 87% of cases and significant intracranial vessel stenosis was showed in 87.5% who had done MRI. Their median NIHSS score at admission was 10.5 with IQR of 5 - 21 and at follow-up it was 5 with IQR of 2.5 - 10.5. At follow-up 22.7% (5 patients) were dead. Conclusion: Systolic dysfunction (EF < 40) i.e. heart failure has no significant effect on stroke severity and 1 month follow up prognosis.

Item Type: Article
Subjects: West Bengal Archive > Medical Science
Depositing User: Unnamed user with email support@westbengalarchive.com
Date Deposited: 27 Mar 2023 07:05
Last Modified: 22 Aug 2024 13:03
URI: http://article.stmacademicwriting.com/id/eprint/350

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