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[The relation between ischemic cerebral stroke and heart diseases].

A Zawadzka1, M Pryszmont

  • 1II Oddziału Neurologii WSZ w Białymstoku.

Neurologia I Neurochirurgia Polska
|July 10, 1999
PubMed
Summary

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.

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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.

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  • 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.