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[The relation between ischemic cerebral stroke and heart diseases]
1II Oddziału Neurologii WSZ w Białymstoku.
Insights
Heart disease is three times more common in patients with ischemic cerebral stroke compared to the general population. Echocardiography revealed cardiac issues in many patients, sometimes requiring treatment changes.
Area of Science:
- Cardiology
- Neurology
- Medical Diagnostics
Background:
- Ischemic cerebral stroke is a significant cause of disability and mortality.
- The association between cardiac conditions and stroke risk requires further elucidation.
- Identifying underlying cardiac pathologies in stroke patients is crucial for effective management.
Purpose of the Study:
- To investigate the prevalence of heart diseases in patients diagnosed with ischemic cerebral stroke.
- To compare the incidence of cardiac abnormalities between stroke patients and a healthy control group.
- To determine if specific cardiac conditions correlate with stroke severity or type.
Main Methods:
- Echocardiographic examinations were conducted on 70 patients with ischemic cerebral stroke.
- A control group of 30 healthy individuals underwent similar cardiac assessments.
- Routine medical tests and electrocardiography (ECG) were also performed for comparative analysis.
Main Results:
- Heart diseases were present in 70% of ischemic stroke patients, significantly higher than the control group.
- Cardiac valve diseases and atrial fibrillation were the most frequently observed cardiac conditions.
- Echocardiography and ECG findings indicated a higher prevalence of heart disease in cerebral infarct cases compared to Reversible Ischemic Neurological Deficit (RIND).
Conclusions:
- A strong correlation exists between heart diseases and the occurrence of ischemic cerebral stroke.
- Cardiac screening, particularly echocardiography, is essential for stroke patients to identify underlying pathologies.
- Findings suggest that 14.3% of stroke patients required treatment modification based on echocardiographic results.
Abstract:
The aim of the study was to evaluate the relation between heart diseases and ischemic cerebral stroke. In addition to routine tests, echocardiographic examinations were performed in 70 patients with ischemic cerebral stroke and in 30 persons constituting the control group. It was found that heart diseases occurred in 70% of the patients in the group studied i.e. three times more frequently than in the control group. Heart disease confirmed by echocardiography and electrocardiography occurred more frequently in patients with cerebral infarct than in those with RIND. In the majority of cases cardiac valve diseases and/or atrial fibrillation were noted. It was found that in 14.3% of the patients studied, the results of the echocardiography indicated the need for modification of the treatment applied.